Organization
SPARTANBURG SCHOOL DISTRICT 7
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY PEARSON (MEDICAID SPECIALIST)
(864) 594-6177
Entity
Organization
Contact information
Practice address
610 DUPRE DR., SPARTANBURG, SC 29307
(864) 594-6177
(864) 594-6186
Mailing address
610 DUPRE DR., SPARTANBURG, SC 29307
(864) 594-6177
(864) 594-6186
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD4207
—
SC
Enumeration date
07/05/2006
Last updated
04/12/2022
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