Individual
WILLIAM ARCH SPAUGH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
890 W FARIS RD, SUITE 550, GREENVILLE, SC 29605-4253
(864) 512-6090
(864) 455-6825
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
386
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576007863100
BCBS OF SC ID
SC
01
—
970022810
RR MEDICARE
SC
05
—
QM0567
—
SC
Enumeration date
05/26/2006
Last updated
09/10/2013
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