| Adidas Spg Health Center Dc1 | |
|
495 Cedar Crest Rd Spartanburg SC 29301-5101 | |
| (615) 468-3188 | |
| Not Available |
| Full Name | Adidas Spg Health Center Dc1 |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 495 Cedar Crest Rd, Spartanburg, South Carolina |
| Authorized Official Name and Position | Jon Leizman (DIRECTOR) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adidas Spg Health Center Dc1 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Adidas Spg Health Center Dc1 495 Cedar Crest Rd Spartanburg SC 29301-5101 Ph: (615) 468-3188 |
| NPI Number | 1275263501 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275263501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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