Individual
JILL SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3424 CLEMSON BLVD, ANDERSON, SC 29621-1357
(864) 512-5830
(864) 224-5990
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-5830
(864) 224-5990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
947
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009476
—
SC
01
—
947
STATE LICENSE
SC
Enumeration date
09/25/2006
Last updated
01/05/2023
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