# UPSTATE LUNG AND CRITICAL CARE SPECIALISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013963982
- **Authorized official:** LASHANDA MAYBERRY (CREDENTIAL COORDINATOR)
- **Authorized official phone:** (864) 573-6320

## Contact information

- **Practice address:** 151 HAROLD FLEMING CT, SPARTANBURG, SC 29303-4225
- **Practice address phone:** (864) 208-0347
- **Practice address fax:** (864) 573-6323
- **Mailing address:** 151 HAROLD FLEMING CT, SPARTANBURG, SC 29303-4225
- **Mailing address phone:** (864) 573-6320
- **Mailing address fax:** (864) 573-6323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 03/15/2023