Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG HEALTH SERVICES DISTRICT, INC
Other names
Medical Group of the Carolinas - Family Medicine - North Grove
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG HEALTH SERVICES DISTRICT, INC
Authorized official
MR. KENNETH MEINKE (CFO)
(864) 560-6000
Entity
Organization
Contact information
Practice address
1330 BOILING SPRINGS RD, SUITE 1200, SPARTANBURG, SC 29303-4201
(864) 591-5900
(864) 591-2266
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6146
—
SC
Enumeration date
02/07/2013
Last updated
12/09/2014
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