Organization
UPSTATE EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L CRANSTON DO (TREASURER)
(864) 297-6574
Entity
Organization
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 297-6574
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 897-5013
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
98041199
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020160500
GROUP FBLP #
SC
01
—
1536977
UMWA GROUP #
SC
01
—
155391700
DEPT OF LABOR GROUP #
SC
01
—
CI5315
GROUP RR MEDICARE #
SC
05
—
GP2430
—
SC
Enumeration date
09/26/2006
Last updated
06/21/2018
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