Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Other names
MedGrpoftheCarolinasSportsMedicineInstitute &OrthopaedicsSurgeryWestsi
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
9768 WARREN H ABERNATHY HWY STE B, SPARTANBURG, SC 29301-5201
(864) 560-2663
(864) 560-9756
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7628
MEDICARE PIN
SC
05
—
GP6480
—
SC
Enumeration date
05/07/2014
Last updated
08/13/2024
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