Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG HEALTH SERVICES DISTRICT, INC
Other names
Medical Group of the Carolinas-Family Medicine-Peachview
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
722 HYATT ST, GAFFNEY, SC 29341-2643
(864) 489-2400
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6744
—
SC
Enumeration date
01/09/2015
Last updated
09/16/2019
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