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SPARTANBURG REGIONAL MED CTR NPI 1023392883


NPI Information

NPI: 1023392883
Provider Name: SPARTANBURG REGIONAL MED CTR

Doing Business As: REGIONAL PEDIATRICS SERVICES

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
853 N CHURCH ST
SUITE 401
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-6287
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SPARTANBURG REGIONAL MED CTR is a pediatrics in Spartanburg, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SPARTANBURG REGIONAL MED CTR NPI is 1023392883. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Regional Pediatrics Services.

The provider's business location address is:

853 N CHURCH ST
SUITE 401
SPARTANBURG, SC
ZIP 29303-098
Phone: (864) 560-6287
Fax: (864) 560-7091

The provider's authorized official is Mark Aycock .
The authorized official title is Executive Vice President and has the following contact phone number (864) 560-6000.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 11/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP5790MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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