Organization
PIEDMONT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY JACKSON (EXECUTIVE DIRECTOR)
(864) 582-7773
Entity
Organization
Contact information
Practice address
101 N PINE ST STE 200, SPARTANBURG, SC 29302-1604
(864) 582-7773
(864) 582-8637
Mailing address
101 N PINE ST STE 200, SPARTANBURG, SC 29302-1604
(864) 582-7773
(864) 582-8637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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