Organization
UPSTATE LUNG AND CRITICAL CARE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHANDA MAYBERRY (CREDENTIAL COORDINATOR)
(864) 573-6320
Entity
Organization
Contact information
Practice address
151 HAROLD FLEMING CT, SPARTANBURG, SC 29303-4225
(864) 208-0347
(864) 573-6323
Mailing address
151 HAROLD FLEMING CT, SPARTANBURG, SC 29303-4225
(864) 573-6320
(864) 573-6323
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890729M
—
NC
05
—
GP3212
—
SC
Enumeration date
05/25/2006
Last updated
03/15/2023
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