Individual
EMERSON JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 E WOOD ST, EMERGENCY CENTER, SPARTANBURG, SC 29303-3040
(864) 560-7025
(864) 560-7388
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
103711
GA
207P00000X
Emergency Medicine Physician
1106
SC
207P00000X
Emergency Medicine Physician
2007-00705
NC
207P00000X
Emergency Medicine Physician
TL1106
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011061
—
SC
01
—
20066217
SELECT HEALTH
SC
01
—
201626
MEDCOST
SC
05
—
5907926
—
NC
01
—
AA21748510
MEDICARE PIN
SC
01
—
AA21749068
MEDICARE PIN
SC
Enumeration date
06/25/2007
Last updated
09/29/2025
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