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NPI Code Detail

MEDICARE: CASSIDY MCQUEEN

MEDICARE: CASSIDY MCQUEEN
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
1363AS0400XSurgical Physician AssistantSC

General Provider Information

NPI Number : 1427925858
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY MCQUEEN
Provider Business Mailing Address
First Line : 1330 BOILING SPRINGS RD STE 1600
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-4219
Country : US
Telephone Number : 864-582-6396
Fax Number : 864-542-2939
Provider Business Practice Location Address
First Line : 1330 BOILING SPRINGS RD STE 1600
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-4219
Country : US
Telephone Number : 864-362-9597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2025
Last Update Date : 06/05/2026

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Directions to “ CASSIDY MCQUEEN ” Practice Location

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