Organization
WELLNESS FAMILY MEDICINE
Active
Other names
Upstate Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA GORDON EARLY M.D., M.P.H. (PRESIDENT)
(864) 591-0992
Entity
Organization
Contact information
Practice address
1241 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2258
(864) 591-0992
(864) 591-0776
Mailing address
1241 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2258
(864) 591-0992
(864) 591-0776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2944
—
SC
Enumeration date
07/07/2006
Last updated
08/22/2020
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