MEDICARE: DISTRICT 2 SCHOOLS SPARTANBURG COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	59300	SC

General Provider Information

NPI Number	:	1538504311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISTRICT 2 SCHOOLS SPARTANBURG COUNTY

Provider Business Mailing Address
First Line	:	4604 PARRIS BRIDGE RD
Second Line	:
City	:	BOILING SPRINGS
State	:	SC
Zip	:	29316
Country	:	US
Telephone Number	:	864-578-2610
Fax Number	:	864-578-2620

Provider Business Practice Location Address
First Line	:	4606 PARRIS BRIGDE RD
Second Line	:
City	:	BOILING SPRINGS
State	:	SC
Zip	:	29316
Country	:	US
Telephone Number	:	864-578-2610
Fax Number	:	864-578-2620

Authorized Official
Title or Position	:	SCHOOL NURSE
Name	:	JILL SETTLE
Credential	:
Telephone Number	:	864-578-2610

Provider Enumeration Date	:	05/07/2013
Last Update Date	:	05/07/2013

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