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Organization
CHEROKEE MEDICAL CENTER
Active
Organization
CHEROKEE MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Other names
CMC-Center for Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Authorized official
KENNETH MEINKE (PAYER CREDENTIALING SPECIALIST)
(864) 560-6000
Entity
Organization
Contact information
Practice address
103 STUARD ST, GAFFNEY, SC 29341-1263
(864) 560-6000
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-6000
(864) 560-4023
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9520
—
SC
01
—
J577
MEDICARE PIN
SC
Enumeration date
09/25/2019
Last updated
05/04/2020
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