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Organization

SPARTANBURG MEDICAL CENTER

Active
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Organization

SPARTANBURG MEDICAL CENTER

Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Other names
Medical Group of the Carolinas - Pediatric Critical Care - Spartanburg
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Authorized official
KENNETH MEINKE (CHIEF FIANCIAL OFFICER)
(864) 560-6000
Entity
Organization

Contact information

Practice address
101 E WOOD ST, SUITE 401, 4 CENTER, SPARTANBURG, SC 29303-3040
(864) 560-4304
(864) 560-4413
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4057
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP1118
SC
Enumeration date
09/07/2006
Last updated
07/10/2024
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