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Organization
SPARTANBURG REGIONAL MED CTR
Active
Organization
SPARTANBURG REGIONAL MED CTR
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Other names
PALMETTO PEDIATRICS VILLAGE OF PELHAM
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Authorized official
JANICE U FOWLER (CREDENTIALING SPECIALIST)
(864) 560-4475
Entity
Organization
Contact information
Practice address
2755 S HIGHWAY 14, SUITE 1200E, GREER, SC 29650-4902
(864) 849-9150
(864) 560-4413
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1118
—
SC
Enumeration date
06/10/2006
Last updated
04/20/2008
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