Provider First Line Business Practice Location Address:
1700 SKYLYN DRIVE
Provider Second Line Business Practice Location Address:
SPARTANBURG EMERGENCY PHYSICIANS, LLC
Provider Business Practice Location Address City Name:
SPARTANGBURG
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29307-1041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-874-6803
Provider Business Practice Location Address Fax Number:
770-874-6833
Provider Enumeration Date:
01/31/2006