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Organization

AMBULATORY SURGERY CENTER OF SPARTANBURG, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE PANKEY R.N. (ADMINISTRATOR)
(864) 560-5821
Entity
Organization

Contact information

Practice address
720 N PINE ST, SPARTANBURG, SC 29303-3127
(864) 560-5800
(864) 560-5899
Mailing address
13740 CYPRESS TERRACE CIR, STE 501-503, FORT MYERS, FL 33907-8827
(239) 274-1000
(239) 274-1001

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF-064
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31910
PARTNERS NATL HEALTH
05
ASC-037
SC
Enumeration date
06/16/2005
Last updated
12/19/2007
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