Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Other names
Medical Group of the Carolinas - OB/GYN - Union
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
319 W SOUTH ST, UNION, SC 29379-2838
(864) 560-6563
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6916
—
SC
Enumeration date
07/29/2015
Last updated
12/10/2015
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