NPI 1124342506

Carolina Physical Medicine and

Organisation General Practice Physician Spartanburg, SC

Practice location

Address: 958 E Main St Suite a, Spartanburg, SC 29302-2148
Phone: (864) 542-0780
Fax: (864) 542-1689

Authorised official

Name: Stephanie C Waddell
Title: Billing Manager
Phone: (864) 469-2045

Registered specialties (4)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in South Carolina →

Chiropractor

Chiropractic Providers Taxonomy 111N00000X

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Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1124342506
Entity type: Organization
NPI issued: 15 Mar 2010
Record last updated: 16 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.