Spartanburg Regional Med Ctr

Pediatrics

Spartanburg Regional Med Ctr is a Boiling Springs, South Carolina based Pediatric center with medical specialization in General Pediatrics. Spartanburg Regional Med Ctr is doing business as Pediatric Nutrition And Special Needs. It is located at 3941 Hwy 9, Ste B, Boiling Springs, South Carolina - 29316. They can be contacted on phone at 864-585-2765 and fax number 864-560-9450.
NPI number (Unique professional ID) for Spartanburg Regional Med Ctr is 1710922703 which was assigned by NPPES on 17 Jun, 2006 and it was last updated on 22 Aug, 2020.
Spartanburg Regional Med Ctr is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Spartanburg Regional Med Ctr basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Spartanburg Regional Med Ctr
Other Name :Pediatric Nutrition And Special Needs
Business Address:
Spartanburg Regional Med Ctr address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :3941 Hwy 9, Ste B
Boiling Springs, SC, 29316
United States
Phone Number :864-585-2765
Fax Number :864-560-9450
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1710922703
NPI Entity Type : Organization
First Enrolment Date : 17 Jun, 2006
Last Updated On : 22 Aug, 2020
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Susan Bruce
Official Title or Position :CREDENTIALING SPECIALIST
Phone Number :864-560-4057
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Spartanburg Regional Med Ctr are as mentioned. Primary taxonomy code for Spartanburg Regional Med Ctr is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes
Legacy Identifiers:
Other legacy medical identifiers of Spartanburg Regional Med Ctr such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
GP1118MEDICAIDSC
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 2168
Spartanburg, SC, 29304-2168
United States
Phone Number :864-560-4304
Fax Number :864-560-4413
Business Location:
Patients can refer following map for directions to Spartanburg Regional Med Ctr practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.