Organization
FAMILY PRACTICE CLINIC OF BOILING SPRINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER DALE SHEALY (DR.)
(864) 578-8720
Entity
Organization
Contact information
Practice address
2224 OLD FURNACE RD, SPARTANBURG, SC 29316-5782
(864) 578-8720
Mailing address
2224 OLD FURNACE RD, SPARTANBURG, SC 29316-5782
(864) 578-8720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
072469
SC
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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