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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
Upstate Maternal Fetal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Authorized official
MARK AYCOCK (EXECUTIVE VICE PRESIDENT)
(864) 560-6000
Entity
Organization
Contact information
Practice address
373 HALTON RD, GREENVILLE, SC 29607-3405
(864) 331-3230
(864) 331-3236
Mailing address
PO BOX 26536, GREENVILLE, SC 29616-1536
(864) 331-3230
(864) 331-3236
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5051
—
SC
Enumeration date
12/10/2008
Last updated
11/17/2011
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