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Organization
NEPHROLOGY ASSOCIATES OF SPARTANBURG, LLC
Active
Organization
NEPHROLOGY ASSOCIATES OF SPARTANBURG, LLC
Active
Other names
Spartanburg Nephrology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA R LANCASTER (PRACTICE MANAGER)
(864) 582-5099
Entity
Organization
Contact information
Practice address
322 N PINE ST, SPARTANBURG, SC 29302-1631
(864) 582-5099
(864) 327-1098
Mailing address
322 N PINE ST, SPARTANBURG, SC 29302-1631
(864) 582-5099
(864) 327-1098
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20053685
SELECT HEALTH
SC
05
—
5903663
—
NC
05
—
5907795
—
NC
01
—
8516
MEDICARE
SC
01
—
DE7625
RAIL ROAD MEDICARE GRP#
SC
05
—
GP4404
—
SC
05
—
GP4718
—
SC
Enumeration date
05/08/2006
Last updated
06/01/2022
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