Organization
SPARTANBURG SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX REYNOLDS (BOARD MEMBER)
(864) 585-2002
Entity
Organization
Contact information
Practice address
391 SERPENTINE DR STE 200, SPARTANBURG, SC 29303
(864) 585-2002
Mailing address
391 SERPENTINE DRIVE, SUITE 200, SPARTANBURG, SC 29303-3079
(864) 585-2002
(864) 585-3300
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF-026
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q292200001
MEDICARE
—
Enumeration date
11/03/2006
Last updated
08/28/2018
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