Provider Demographics
NPI:1386829653
Name:SPIGNER, TORRANCE MIQUEL (ADMINISTRATOR)
Entity Type:Individual
Prefix:MR
First Name:TORRANCE
Middle Name:MIQUEL
Last Name:SPIGNER
Suffix:
Gender:M
Credentials:ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 BROOKCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:CAYCE
Mailing Address - State:SC
Mailing Address - Zip Code:29033-4202
Mailing Address - Country:US
Mailing Address - Phone:803-629-0278
Mailing Address - Fax:803-739-8795
Practice Address - Street 1:402 BROOKCLIFF RD
Practice Address - Street 2:
Practice Address - City:CAYCE
Practice Address - State:SC
Practice Address - Zip Code:29033-4202
Practice Address - Country:US
Practice Address - Phone:803-629-0278
Practice Address - Fax:803-739-8795
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC000000000002053372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider