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Contact Information

UPSTATE GASTROENTEROLOGY, PA
1922A MCCONNELL SPRINGS RD
ANDERSON, SC29621-2642
 Phone: 864-716-6050
 Fax: 864-716-6055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for UPSTATE GASTROENTEROLOGY, PA

NPI Number 1851342067
LBN Legal business name UPSTATE GASTROENTEROLOGY, PA
Authorized official DAVID WORTHAM - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2006
Last updated 07/14/2011 - About 15 years ago
Identifiers
SC Medicaid GP3878
SC Other DB7162 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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