Organization
UPSTATE CAROLINA RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HASWELL MD (CHAIRMAN)
(864) 560-6522
Entity
Organization
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6522
(888) 972-8644
Mailing address
PO BOX 745812, ATLANTA, GA 30374-5812
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902719
—
NC
05
—
PA0114
—
SC
Enumeration date
04/26/2006
Last updated
07/21/2022
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