Provider Demographics
NPI:1679542492
Name:RINGEL, ROBERT ALAN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ALAN
Last Name:RINGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1690 SKYLYN DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-1022
Mailing Address - Country:US
Mailing Address - Phone:864-542-2510
Mailing Address - Fax:864-583-1311
Practice Address - Street 1:1690 SKYLYN DR
Practice Address - Street 2:SUITE 140
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1022
Practice Address - Country:US
Practice Address - Phone:864-542-2510
Practice Address - Fax:864-583-1311
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14093174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC140939Medicaid
SCA725454446Medicare ID - Type Unspecified
SC140939Medicaid