# WESTSIDE INTERNAL MEDICINE, LLC

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

## Provider details

- **NPI number:** 1134279961
- **Authorized official:** KAVITA PATEL (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (864) 576-5764

## Contact information

- **Practice address:** 3070 REIDVILLE RD, SPARTANBURG, SC 29301-5642
- **Practice address phone:** (864) 587-3180
- **Practice address fax:** (864) 587-3969
- **Mailing address:** 3070 REIDVILLE RD, P O BOX170156, SPARTANBURG, SC 29301-5642
- **Mailing address phone:** (864) 576-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/09/2024