Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Other names
Medical Group of the Carolinas-Pediatrics- Boiling Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Authorized official
BRUCE A DAVIS (CHIEWF FINANCIAL OFFICER)
(864) 560-6000
Entity
Organization
Contact information
Practice address
575 INGLES DR, INMAN, SC 29349-8314
(864) 342-4090
(864) 578-7098
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6084
MEDICARE PIN
SC
05
—
GP8756
—
SC
Enumeration date
11/19/2018
Last updated
10/07/2024
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