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Organization

SPARTANBURG MEDICAL CENTER

Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Other names
Medical Group of the Carolinas - Division of Surgery - Pelham
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
2755 S HIGHWAY 14, SUITE2500, GREER, SC 29650-4902
(864) 849-9555
(864) 849-9556
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CN1627
RAILROAD MEDICARE GROUP #
SC
05
GP1118
SC
Enumeration date
02/20/2007
Last updated
12/09/2014
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