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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 Union- Eastside
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Authorized official
MR. KENNETH MEINKE (CFO)
(864) 560-6000
Entity
Organization
Contact information
Practice address
429 E MAIN ST, UNION, SC 29379-1902
(864) 427-9045
(864) 427-8826
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
363L00000X
Nurse Practitioner
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6913
—
SC
Enumeration date
07/29/2015
Last updated
12/10/2015
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