Provider First Line Business Practice Location Address:
800 UNIVERSITY WAY
Provider Second Line Business Practice Location Address:
USC-UPSTATE HEALTH SERVICES
Provider Business Practice Location Address City Name:
SPARTANBURG
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-503-5191
Provider Business Practice Location Address Fax Number:
864-503-0754
Provider Enumeration Date:
01/18/2010