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NPI Code Detail

MEDICARE: WOFFORD COLLEGE

MEDICARE: WOFFORD COLLEGE
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
1261QS1000XStudent Health Clinic/Center

General Provider Information

NPI Number : 1437434297
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOFFORD COLLEGE
Provider Business Mailing Address
First Line : PO BOX 819020
Second Line :
City : DALLAS
State : TX
Zip : 75381-9020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 429 N CHURCH ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3612
Country : US
Telephone Number : 864-597-4000
Fax Number :
Authorized Official
Title or Position : ATHLETICS DEPARTMENT
Name : WILL CHRISTMAN
Credential :
Telephone Number : 864-597-4114
Provider Enumeration Date : 10/12/2011
Last Update Date : 10/12/2011

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Directions to “WOFFORD COLLEGE ” Practice Location

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