Individual
DR. SAMUEL A GACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST, SUITE 401, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-6017
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24345
AL
207R00000X
Internal Medicine Physician
31461
SC
208M00000X
Hospitalist Physician
Primary
31461
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936876
—
AL
05
—
314617
—
SC
05
—
5911252
—
NC
01
—
P00708639
RR MEDICARE
SC
01
—
P01079096
RAILROAD MEDICARE
SC
Enumeration date
06/15/2005
Last updated
03/09/2015
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