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Organization

SPARTANBURG MEDICAL CENTER

Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Other names
Medical Group of the Carolinas - Family Medicine - Gaffney
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Authorized official
KENNETH MEINKE (CHIEF FINANCIAL OFFICER)
(864) 560-6000
Entity
Organization

Contact information

Practice address
1341 N LIMESTONE ST, GAFFNEY, SC 29340-4823
(864) 489-3360
(864) 560-4413
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89011PM
NC
01
CN1627
RAILROAD MEDICARE
SC
05
GP1118
SC
05
GP5631
SC
Enumeration date
06/10/2006
Last updated
12/09/2014
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