Andrew Spencer
Individual provider Active NPI Contractor · Bluffton, SC
NPI 1194179986 · NPPES record last updated Apr 18, 2016
Key facts
- NPI
- 1194179986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 29 Plantation Park Dr
Bluffton, SC 29910-9001 - Phone
- (843) 298-4320
- NPI assigned
- Apr 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
29 Plantation Park Dr
Bluffton, SC 29910-9001
Mailing address
PO Box 3444
Bluffton, SC 29910-3444
Phone (843) 298-4320
Other providers in Bluffton, SC
- Southern Neurology, PA
- Southern Oak Dental Bluffton, LLC
- Southern Oak Dental, LLC
- Southern Sky Recovery
- Deiyonna Shandrika Speaks
- Lorrie G. Spencer
- Sophie Spicketts
- Ross Spires
- Eric William Spreeman
- Lindsey Srisuwan
All providers in Bluffton, SC · Contractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.