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Organization
SPARTANBURG MEDICAL CENTER
Active
Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Other names
Medical Group of the Carolinas - Cardiothoracic & Vascular Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Authorized official
KENNETH MEINKE (CHIEF FINACIAL OFFICER)
(864) 560-6000
Entity
Organization
Contact information
Practice address
225 E WOOD ST, SPARTANBURG, SC 29303-3050
(864) 583-4420
(864) 542-1045
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907157
—
NC
01
—
CN1627
RAILROAD MEDICARE GROUP#
SC
05
—
GP1118
—
SC
Enumeration date
10/05/2006
Last updated
10/29/2019
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