Organization · Type 2 NPI

Spartanburg Regional Med CTR

Hematology & Oncology Physician · Spartanburg, SC

NPI number 1568616076 Active

Practice location

1702 Skylyn Dr, Unit C
Spartanburg, SC 29307-1040

Call (864) 560-1402 Map

Fax (864) 560-1418

Mailing address

380 Serpentine Dr, Suite 200
Spartanburg, SC 29303-3066

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2 other providers at this address

Other hematology & oncology physician providers in Spartanburg

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NPI record

NPI: 1568616076
Entity type: Organization (Type 2)
Issued: Nov 11, 2008
Last updated: Dec 17, 2010
Status: Active
Subpart: Yes of Spartanburg Regional Health Services District, Inc

Other names

<unavail>
Palmetto Hematology Oncology - Eastside · doing business as

Authorized official

Mark Aycock
Chief Financial Officer
(864) 560-6000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1568616076

Spartanburg Regional Med CTR's National Provider Identifier is 1568616076, issued on Nov 11, 2008. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Spartanburg, SC. The record was last updated on Dec 17, 2010.