# SPARTANBURG REGIONAL MED CTR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PEDIATRIC OPTHALMOLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346271863
- **Authorized official:** MRS. SUSAN BRUCE (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (864) 560-4057

## Contact information

- **Practice address:** 101 E WOOD ST, SPARTANBURG, SC 29303-3040
- **Practice address phone:** (864) 560-6000
- **Mailing address:** PO BOX 2168, SPARTANBURG, SC 29304-2168
- **Mailing address phone:** (864) 560-4304
- **Mailing address fax:** (864) 560-4413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 08/22/2020