Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Other names
Medical Group of the Carolinas-Vascular Access Surgery-Pelham
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Authorized official
KENNETH J MEINKE (CHIEF FINANCIAL OFFICER)
(864) 560-6103
Entity
Organization
Contact information
Practice address
2755 S HIGHWAY 14 STE 2300, GREER, SC 29650-4938
(864) 849-9225
(864) 804-5249
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 849-9225
(864) 804-5249
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7628
MEDICARE PIN
SC
05
—
PG1060
—
SC
Enumeration date
06/29/2022
Last updated
09/07/2022
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