NPI 1598119885

Onsite Health

Organisation Exclusive Provider Organization Lyman, SC

Practice location

Address: 1295 Old Spartanburg Hwy, Lyman, SC 29365-1820
Phone: (864) 598-8057
Fax: (864) 598-8059
Mailing address: 900 S Pine St STE a, Spartanburg, SC 29302-3376

Authorised official

Name: Glenn L Scott
Title: Owner
Phone: (864) 582-3456

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 6850 (SC)

Other Exclusive Provider Organization providers in South Carolina →

Registry record

NPI: 1598119885
Entity type: Organization
NPI issued: 22 Apr 2016
Record last updated: 3 May 2016

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.