Individual
DR. MARC D. BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6193
(864) 560-1510
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SC23540
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235405
—
SC
01
—
3609365
AETNA
SC
01
—
D6547
MEDCOST
SC
01
—
H765306067
MEDICARE PIN
SC
01
—
SCA0243365
MEDICARE PTAN
SC
01
—
SCA0245019
MEDICARE PTAN
SC
01
—
SCA0246084
MEDICARE PIN
SC
01
—
SCA0246121
MEDICARE PIN
SC
01
—
SCA024J577
MEDICARE PIN
SC
Enumeration date
01/30/2006
Last updated
11/25/2020
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