Organization
EARLY INTERVENTION UPSTATE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY RYAN BISHOP EDD (PRESIDENT)
(864) 909-5260
Entity
Organization
Contact information
Practice address
1400 BOILING SPEINGS RD SUITE 10, SPARTANBURG, SC 29303
(864) 909-5260
(864) 752-1072
Mailing address
1077 CORIE CREST DR., BOILING SPRINGS, SC 29316
(864) 909-5260
(864) 752-1072
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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