Organization
SPARTANBURG REGIONAL MED CTR
Active
Organization
SPARTANBURG REGIONAL MED CTR
Active
Other names
PELHAM MINOR CARE/OCC HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN BRUCE (CREDENTIALING SPECIALIST)
(864) 560-4057
Entity
Organization
Contact information
Practice address
2755 S HIGHWAY 14, SUITE 1200A-B, GREER, SC 29650-4926
(864) 879-1948
(864) 849-9198
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1118
—
SC
Enumeration date
05/18/2006
Last updated
09/11/2025
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