Upstate Affiliate Organization

NPI #1205382314 in Clinton, South Carolina

Provider Information

NPI Number
1205382314
Entity Type
Organization
Organization Name
Upstate Affiliate Organization
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 29, 2016
Last Updated
Oct 10, 2016

Practice Location

Address
22725 HIGHWAY 76 E
ZIP Code
29325-7527
Phone
(864) 833-9100

Authorized Official

Name
DR. SPENCE M TAYLOR, MD
Title
PRESIDENT
Phone
(864) 797-6118

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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