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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 - Family Medicine - Greer
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Authorized official
BRUCE A DAVIS (SYSTEMS CHIEF FINANCIAL OFFICER)
(864) 560-6000
Entity
Organization
Contact information
Practice address
2755 S HIGHWAY 14 STE 1220, GREER, SC 29650-4902
(864) 849-9500
(864) 879-3693
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 849-9500
(864) 879-3693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6067
MEDICARE PIN
SC
05
—
PG2056
—
SC
Enumeration date
03/13/2024
Last updated
04/08/2024
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