Organization
NETWORK GERIATRIC SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY BRADFORD WHITNEY M.D. (CEO)
(864) 327-1510
Entity
Organization
Contact information
Practice address
103 S PINE ST, SPARTANBURG, SC 29302-1972
(864) 327-1510
(864) 327-1662
Mailing address
103 S PINE ST, SPARTANBURG, SC 29302-1972
(864) 327-1510
(864) 327-1662
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
12758
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4420
—
SC
Enumeration date
05/31/2006
Last updated
12/22/2009
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