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Organization

SPARTANBURG REGIONAL MED CTR

Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Other names
Magnolia Center for Plastic Surgery Village of Pelham
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Authorized official
GINA MICHELLE HILLERS (CREDENTIALING SPECIALIST)
(864) 560-4057
Entity
Organization

Contact information

Practice address
2755 S HIGHWAY 14, SUITE 1200L, GREER, SC 29650-4902
(864) 849-9330
(864) 560-4413
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CN1627
RAILROAD MEDICARE GROUP #
SC
05
GP4480
SC
Enumeration date
08/18/2006
Last updated
04/23/2009
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