# SPARTANBURG MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPARTANBURG HEALTH SERVICES DISTRICT, INC
- **Other names:** Medical Group of the Carolinas - Internal Medicine - Eastside
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801206123
- **Legal business name:** SPARTANBURG HEALTH SERVICES DISTRICT, INC
- **Authorized official:** BRUCE A DAVIS (SYSTEMS CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (864) 560-6000

## Contact information

- **Practice address:** 1650 SKYLYN DR STE 220, SPARTANBURG, SC 29307-1069
- **Practice address phone:** (864) 560-9056
- **Practice address fax:** (864) 560-9057
- **Mailing address:** PO BOX 743070, ATLANTA, GA 30374-3070
- **Mailing address phone:** (864) 560-4304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2014
- **Last updated:** 03/14/2024