Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Other names
Medical Group of the Carolinas-Medical Affiliates-Pelham
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
Authorized official
KENNETH MEINKE (CHIEF FINANCIAL OFFICER)
(864) 560-6000
Entity
Organization
Contact information
Practice address
2755 S HIGHWAY 14, SUITE 1200H, GREER, SC 29650-4902
(864) 585-5433
(864) 591-4053
Mailing address
PO BOX 2288, SPARTANBURG, SC 29304-2288
(864) 585-5433
(864) 591-4053
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6705
—
SC
Enumeration date
02/20/2015
Last updated
04/16/2015
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