Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Other names
Medical Group of the Carolinas - Carolina Ob/Gyn, Medical Group of the Carolinas - Carolina Piedmont OB/GYN - East
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Authorized official
BRUCE A DAVIS (CHIEF FINANCIAL OFFICER)
(864) 560-6000
Entity
Organization
Contact information
Practice address
1686 SKYLYN DR, SUITE 101, SPARTANBURG, SC 29307-1079
(864) 585-3456
(864) 585-3209
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN1627
RR MEDICARE
SC
05
—
GP5629
—
SC
05
—
PG1323
—
SC
05
—
PG1325
—
SC
05
—
PG1327
—
SC
Enumeration date
12/01/2008
Last updated
06/12/2024
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