| Victoria Medical | |
|
385 Serpentine Dr Suite B Spartanburg SC 29303-3018 | |
| (864) 560-7079 | |
| (864) 560-7082 |
| Full Name | Victoria Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 385 Serpentine Dr, Spartanburg, South Carolina |
| Authorized Official Name and Position | Victoria Babushkina (OWNER) |
| Authorized Official Contact | 8645607079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Medical 385 Serpentine Dr Suite B Spartanburg SC 29303-3018 Ph: (864) 560-7079 | Victoria Medical 385 Serpentine Dr Suite B Spartanburg SC 29303-3018 Ph: (864) 560-7079 |
| NPI Number | 1205882891 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205882891 | NPI | - | NPPES |
| GP3201 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21033 (South Carolina) | Primary |
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