Organization
ORTHOPEDIC SPECIALTIES OF SPARTANBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN F BARNES (PRACTICE MANAGER)
(864) 208-8809
Entity
Organization
Contact information
Practice address
303 E WOOD STREET, SPARTANBURG, SC 29303
(864) 208-8800
(864) 208-0318
Mailing address
303 E WOOD STREET, SPARTANBURG, SC 29303
(864) 208-8800
(864) 208-0318
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE2877
MEDICAID DME
SC
05
—
GP3071
—
SC
Enumeration date
05/28/2006
Last updated
09/13/2022
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