Lovelace, Spencer Charles

Lovelace, Spencer Charles is an individual health care provider with primary practice located at 600 N Wheeler Ave , Prosperity SC 29127-9332. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lovelace, Spencer Charles can be contacted via phone (803) 364-4852.

Contact Information

Primary practice address
600 N Wheeler Ave Prosperity SC 29127-9332
Phone: (803) 364-4852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP10047856 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MMD39331 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Q2583 Texas

Profile Details

NPI number 1730524620
LBN Legal business name Lovelace, Spencer Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2013
Last updated Nov 9th, 2016 - about 9 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 1730524620 NPPES
Texas Other 575421 BASIC POSTGRADUATE PERMIT
Texas MEDICAID 393318 BASIC POSTGRADUATE PERMIT

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