# FOOTHILLS ANESTHESIA CONSULTANTS, PC

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

## Provider details

- **NPI number:** 1992792667
- **Authorized official:** URSULA LONG MD (AUTHORIZED REP.)
- **Authorized official phone:** (864) 560-6122

## Contact information

- **Practice address:** 101 E WOOD ST, SPARTANBURG, SC 29303-3040
- **Practice address phone:** (864) 560-6122
- **Practice address fax:** (864) 560-6276
- **Mailing address:** 804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
- **Mailing address phone:** (864) 560-6122
- **Mailing address fax:** (864) 560-6276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | SC | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP0770 | — | SC |