Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG HEALTH SERVICES DISTRICT, INC
Other names
Medical Group of the Carolinas - Internal Medicine - Westside
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG HEALTH SERVICES DISTRICT, INC
Authorized official
BRUCE A DAVIS (CHIEF FINANCIAL OFFICER)
(864) 560-6000
Entity
Organization
Contact information
Practice address
8311 WARREN H ABERNATHY HWY, SPARTANBURG, SC 29301-1249
(864) 560-6563
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5019
MEDICARE PIN
SC
05
—
GP6479
—
SC
Enumeration date
05/07/2014
Last updated
08/05/2024
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