| Spartanburg Regional Physician Network | |
|
101 E Wood St Spartanburg SC 29303-3040 | |
| (864) 560-4304 | |
| (864) 560-4413 |
| Full Name | Spartanburg Regional Physician Network |
|---|---|
| Speciality | Family Medicine |
| Location | 101 E Wood St, Spartanburg, South Carolina |
| Authorized Official Name and Position | Gina Michelle Ruiz (CONTRACT MANAGEMENT COORDINATOR) |
| Authorized Official Contact | 8645606457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spartanburg Regional Physician Network Po Box 2168 Spartanburg SC 29304-2168 Ph: (864) 560-4304 | Spartanburg Regional Physician Network 101 E Wood St Spartanburg SC 29303-3040 Ph: (864) 560-4304 |
| NPI Number | 1497900641 |
|---|---|
| Provider Enumeration Date | 12/01/2008 |
| Last Update Date | 12/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497900641 | NPI | - | NPPES |
| GP1118 | Medicaid | SC |
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