Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Other names
Medical Group of the Carolinas - Anesthesiology
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
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-4304
(864) 560-4023
Mailing address
PO BOX 746639, ATLANTA, GA 30374-6639
(864) 560-4304
(864) 560-4023
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5019
MEDICARE PIN
SC
01
—
5121
MEDICARE PIN
SC
05
—
PG0516
—
SC
Enumeration date
07/26/2021
Last updated
01/22/2025
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