Organization
PEDIATRIC EVENING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH H JOHNS MD (OWNER)
(864) 591-0311
Entity
Organization
Contact information
Practice address
451A E SAINT JOHN ST, SPARTANBURG, SC 29302-1623
(864) 591-0311
(864) 591-0744
Mailing address
451A E SAINT JOHN ST, SPARTANBURG, SC 29302-1623
(864) 591-0311
(864) 591-0744
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
17001
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170013
—
SC
Enumeration date
12/22/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us