Organization
SPARTANBURG SURGICAL SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A LEPAGE MD (PRESIDENT)
(864) 577-0751
Entity
Organization
Contact information
Practice address
391 SERPENTINE DR, SUITE 250, SPARTANBURG, SC 29303-3080
(864) 577-0751
(864) 577-0633
Mailing address
391 SERPENTINE DR, SUITE 250, SPARTANBURG, SC 29303-3080
(864) 577-0751
(864) 577-0633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17137
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3130
—
SC
Enumeration date
07/25/2006
Last updated
08/22/2020
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