Upstate Gastroenterology, Pa

LBN: Upstate Gastroenterology, Pa
Upstate Gastroenterology, Pa is an health care organization with primary practice located at 1922A Mcconnell Springs Rd , Anderson SC 29621-2642. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Upstate Gastroenterology, Pa can be contacted via phone (864) 716-6050, or through Wortham, David T via phone (864) 716-6050.

Contact Information

Primary practice address
1922A Mcconnell Springs Rd Anderson SC 29621-2642
Phone: (864) 716-6050
Fax: (864) 716-6055
Website:
Map and Directions
Authorized official contact:
Name: Wortham, David T
Phone: (864) 716-6050

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1851342067
LBN Legal business name Upstate Gastroenterology, Pa
DBA Doing business as
Authorized official Wortham, David T
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Jul 14th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851342067 NPPES
South Carolina MEDICAID GP3878
South Carolina Other DB7162

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