Individual
HENRY SHUGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 BOILING SPRINGS RD, SUITE 2500, SPARTANBURG, SC 29303
(864) 585-5433
(864) 591-4053
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
Primary
18097
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110166451
RR MEDICARE
SC
05
—
180976
—
SC
01
—
P01506084
RAILROAD MEDICARE
SC
Enumeration date
02/28/2006
Last updated
12/18/2020
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