| Healogics Specialty Physicians Of South Carolina, Llc | |
|
1630 Skylyn Drive Suite 420 Spartanburg SC 29307 | |
| (904) 446-3825 | |
| Not Available |
| Full Name | Healogics Specialty Physicians Of South Carolina, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1630 Skylyn Drive, Spartanburg, South Carolina |
| Authorized Official Name and Position | Frank Williams (CEO) |
| Authorized Official Contact | 9044463519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healogics Specialty Physicians Of South Carolina, Llc Po Box 638509 Cincinnati OH 45263-8509 Ph: () - | Healogics Specialty Physicians Of South Carolina, Llc 1630 Skylyn Drive Suite 420 Spartanburg SC 29307 Ph: (904) 446-3825 |
| NPI Number | 1023677945 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023677945 | NPI | - | NPPES |
| GP7200 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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