Organization
SPARTANBURG REGIONAL MED CTR
Active
Other names
PEDIATRIC OPTHALMOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN BRUCE (CREDENTIALING SPECIALIST)
(864) 560-4057
Entity
Organization
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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