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CENTERWELL SENIOR PRIMARY CARE (SC) PC NPI 1154974343


NPI Information

NPI: 1154974343
Provider Name: CENTERWELL SENIOR PRIMARY CARE (SC) PC

Former Legal Business Name: PARTNERS IN PRIMARY CARE (SC) PC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 42D2170947

Address:
1855 E MAIN ST STE 21A
SPARTANBURG, SC
ZIP 29307
Phone: (864) 913-4370
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CENTERWELL SENIOR PRIMARY CARE (SC) PC is an internal medicine in Spartanburg, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CENTERWELL SENIOR PRIMARY CARE (SC) PC NPI is 1154974343. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Partners In Primary Care (sc) Pc.

The provider's business location address is:

1855 E MAIN ST STE 21A
SPARTANBURG, SC
ZIP 29307-327
Phone: (864) 913-4370
Fax: (833) 994-1103

The provider's authorized official is Erica Lache' Savage-jeter .
The authorized official title is Regional Medical Director and has the following contact phone number (864) 216-4620.

The CLIA number assigned to this NPI record is 42D2170947 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 11/7/2022.


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
1207Q00000XFamily MedicineNo
2208D00000XGeneral PracticeNo
3207R00000XInternal MedicineYes

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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