Healthcare Provider Details

I. General information

NPI: 1437434297
Provider Name (Legal Business Name): WOFFORD COLLEGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2011
Last Update Date: 10/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 N CHURCH ST
SPARTANBURG SC
29303-3612
US

IV. Provider business mailing address

PO BOX 819020
DALLAS TX
75381-9020
US

V. Phone/Fax

Practice location:
  • Phone: 864-597-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILL CHRISTMAN
Title or Position: ATHLETICS DEPARTMENT
Credential:
Phone: 864-597-4114