| Family Physicians Of Spartanburg, Pc | |
|
3021 Reidville Road Spartanburg SC 29301 | |
| (864) 576-9201 | |
| (864) 576-6584 |
| Full Name | Family Physicians Of Spartanburg, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3021 Reidville Road, Spartanburg, South Carolina |
| Authorized Official Name and Position | Tonya C. Holmes (PRACTICE MANAGER) |
| Authorized Official Contact | 8645769201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Physicians Of Spartanburg, Pc 3021 Reidville Road Spartanburg SC 29301 Ph: (864) 576-9201 | Family Physicians Of Spartanburg, Pc 3021 Reidville Road Spartanburg SC 29301 Ph: (864) 576-9201 |
| NPI Number | 1629228382 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 09/30/2008 |
| Medicare PECOS PAC ID | 2961561568 |
|---|---|
| Medicare Enrollment ID | O20081112000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629228382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9525 (South Carolina) | Primary |
| Provider Name | Eric L Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013968478 PECOS PAC ID: 0547285884 Enrollment ID: I20051006000149 |
| Provider Name | Lee B Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003863929 PECOS PAC ID: 7517060239 Enrollment ID: I20070316000164 |
| Provider Name | Kevin Boyter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326111998 PECOS PAC ID: 1850494584 Enrollment ID: I20070316000284 |
| Provider Name | Lisa K Colasurdo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447246616 PECOS PAC ID: 5597868273 Enrollment ID: I20070319000138 |
| Provider Name | Mark A Knipfer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982650172 PECOS PAC ID: 1052414745 Enrollment ID: I20070319000204 |
| Provider Name | Mark L Miles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174579379 PECOS PAC ID: 6800991498 Enrollment ID: I20070410000113 |
| Provider Name | Douglas L Wiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922298967 PECOS PAC ID: 1456547546 Enrollment ID: I20101201000915 |
| Provider Name | Tiffany T Nobles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023422649 PECOS PAC ID: 9931327137 Enrollment ID: I20140901000014 |
| Provider Name | Robert J Karl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073595435 PECOS PAC ID: 6901875558 Enrollment ID: I20150129000197 |
| Provider Name | Kindal M Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740736008 PECOS PAC ID: 4981984689 Enrollment ID: I20161215001976 |
| Provider Name | Lisa Jett Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275905465 PECOS PAC ID: 9335429992 Enrollment ID: I20161219000096 |
| Provider Name | Mary Beth Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275080723 PECOS PAC ID: 6103193339 Enrollment ID: I20170518001838 |
| Provider Name | Catherine Marshall Voelker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386893121 PECOS PAC ID: 0042558256 Enrollment ID: I20190213003222 |
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