Individual
AUBURN WOODS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 BOILING SPRINGS ROAD, SUITE 2300, SPARTANBURG, SC 29303
(864) 585-6491
(864) 585-1368
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7473
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07473
—
SC
01
—
197522
MEDCOST
SC
01
—
4280283
AETNA
SC
05
—
890590G
—
NC
01
—
SCD2396084
MEDICARE PIN
SC
01
—
SCD2396121
MEDICARE PIN
SC
01
—
SCD239J577
MEDICARE PIN
SC
Enumeration date
03/01/2006
Last updated
01/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us