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Organization
SPARTANBURG REGIONAL MED CTR
Active
Organization
SPARTANBURG REGIONAL MED CTR
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Other names
Palmetto Hematology Oncology - Eastside
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Authorized official
MARK AYCOCK (CHIEF FINANCIAL OFFICER)
(864) 560-6000
Entity
Organization
Contact information
Practice address
1702 SKYLYN DR, UNIT C, SPARTANBURG, SC 29307-1040
(864) 560-1402
(864) 560-1418
Mailing address
380 SERPENTINE DR, SUITE 200, SPARTANBURG, SC 29303-3066
(864) 560-7050
(864) 560-7057
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911413
—
NC
05
—
GP4991
—
SC
Enumeration date
11/11/2008
Last updated
12/17/2010
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