Beavers, Troy Lee

Beavers, Troy Lee is an individual health care provider with primary practice located at 1686 Skylyn Dr Suite 201, Spartanburg SC 29307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Beavers, Troy Lee can be contacted via phone (864) 582-8135.

Contact Information

Primary practice address
1686 Skylyn Dr Suite 201 Spartanburg SC 29307
Phone: (864) 582-8135
Fax: (864) 573-9757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20672 South Carolina

Profile Details

NPI number 1497707863
LBN Legal business name Beavers, Troy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 6th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497707863 NPPES
South Carolina MEDICAID 206725

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