# CENTERWELL SENIOR PRIMARY CARE (SC) PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTERWELL SENIOR PRIMARY CARE (SC) PC
- **Other names:** Partners in Primary Care-Spartanburg, CenterWell Senior Primary Care- Spartanburg, Partners in Pimary Care NC PC, Partners in Primary Care (SC) PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154974343
- **Legal business name:** CENTERWELL SENIOR PRIMARY CARE (SC) PC
- **Authorized official:** ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
- **Authorized official phone:** (407) 447-7120

## Contact information

- **Practice address:** 1855 E MAIN ST STE 21A, SPARTANBURG, SC 29307-2327
- **Practice address phone:** (864) 913-4370
- **Practice address fax:** (833) 994-1103
- **Mailing address:** 6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
- **Mailing address phone:** (305) 500-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 07/17/2019
- **Last updated:** 08/19/2024