# UPSTATE GASTROENTEROLOGY, PA

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

## Provider details

- **NPI number:** 1851342067
- **Authorized official:** DAVID T WORTHAM (MD)
- **Authorized official phone:** (864) 716-6050

## Contact information

- **Practice address:** 1922A MCCONNELL SPRINGS RD, ANDERSON, SC 29621-2642
- **Practice address phone:** (864) 716-6050
- **Practice address fax:** (864) 716-6055
- **Mailing address:** 1922A MCCONNELL SPRINGS RD, ANDERSON, SC 29621-2642
- **Mailing address phone:** (864) 716-6050
- **Mailing address fax:** (864) 716-6055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 07/14/2011