Organization
SPARTANBURG REGIONAL MED CTR
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Other names
Internal Medicine of Greer
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Authorized official
MARK AYCOCK (CFO)
(864) 560-6000
Entity
Organization
Contact information
Practice address
325 MEDICAL PKWY, SUITE 200, GREER, SC 29650-2457
(864) 879-7556
(864) 879-3693
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN1627
RAILROAD MEDICARE
SC
05
—
GP5289
—
SC
Enumeration date
09/21/2009
Last updated
04/27/2010
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