Healthcare Provider Details

I. General information

NPI: 1922018100
Provider Name (Legal Business Name): THE CAROLINA HAND CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 SKYLYN DR STE 410
SPARTANBURG SC
29307-1081
US

IV. Provider business mailing address

1650 SKYLYN DR STE 410
SPARTANBURG SC
29307-1081
US

V. Phone/Fax

Practice location:
  • Phone: 864-585-4263
  • Fax: 864-585-9712
Mailing address:
  • Phone: 864-585-4263
  • Fax: 864-585-9712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISSY DIXON
Title or Position: OFFICE MANAGER
Credential:
Phone: 864-585-4263