Individual
JOSEPH DONALD SPENNETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 885-7156
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0090-00795
NC
207P00000X
Emergency Medicine Physician
Primary
33052
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143CG
BCBS OF NC
NC
01
—
192452
MEDCOST
NC
05
—
5904908
—
NC
01
—
P00374479
RRMCA
NC
05
—
PENDING
—
SC
Enumeration date
08/25/2006
Last updated
10/21/2015
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