Organization
SYNERGY SPINE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION R MCMILLAN III MD (MEDICAL DIRECTOR OWNER)
(864) 882-8850
Entity
Organization
Contact information
Practice address
457D BY PASS 123, SENECA, SC 29678
(864) 882-8850
(864) 882-0420
Mailing address
457D BY PASS 123, SENECA, SC 29678-0842
(864) 882-8850
(864) 886-9777
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC039
—
SC
Enumeration date
01/11/2006
Last updated
04/18/2022
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