Pediatric Nutrition And Special Needs

LBN: Spartanburg Regional Med Ctr
Pediatric Nutrition And Special Needs is an health care organization with primary practice located at 3941 Hwy 9 Ste B, Boiling Springs SC 29316. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Spartanburg Regional Med Ctr can be contacted via phone (864) 585-2765, or through Bruce, Susan via phone (864) 560-4057.

Contact Information

Primary practice address
3941 Hwy 9 Ste B Boiling Springs SC 29316
Phone: (864) 585-2765
Fax: (864) 560-9450
Website:
Map and Directions
Authorized official contact:
Name: Bruce, Susan
Phone: (864) 560-4057

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1710922703
LBN Legal business name Spartanburg Regional Med Ctr
DBA Doing business as Pediatric Nutrition And Special Needs
Authorized official Bruce, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710922703 NPPES
South Carolina MEDICAID GP1118

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