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SPARTANBURG REGIONAL MED CTR NPI 1710918230


NPI Information

NPI: 1710918230
Provider Name: SPARTANBURG REGIONAL MED CTR

Doing Business As: REGIONAL FAMILY NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
853 N CHURCH STREET
SUITE 640
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-6445
Get Directions

SPARTANBURG REGIONAL MED CTR is a neurology with special qualifications in child neurology psychiatry neurology in Spartanburg, SC. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. SPARTANBURG REGIONAL MED CTR NPI is 1710918230. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Regional Family Neurology.

The provider's business location address is:

853 N CHURCH STREET
SUITE 640
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-6445
Fax: (864) 560-4413

The provider's authorized official is Gina Michelle Hillers .
The authorized official title is Credentialing Specialist and has the following contact phone number (864) 560-4057.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 11/24/2008.


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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

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
1=========050OTHERSOUTH CAROLINATRICARE GROUP
257600934075OTHERSOUTH CAROLINABLUE CROSS BLUE SHIELD G
3GP2722MEDICAIDSOUTH CAROLINA
4CN1627OTHERSOUTH CAROLINARAILROAD MEDICARE GROUP#
56586MEDICARE PINSOUTH CAROLINA
66906099MEDICAIDNORTH 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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