Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Other names
Medical Group of the Carolinas- Division of Surgery -Skylyn
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
1690 SKYLYN DR STE 350, SPARTANBURG, SC 29307-1039
(864) 577-1600
(864) 278-7085
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
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
—
GP8760
—
SC
Enumeration date
11/19/2018
Last updated
08/03/2020
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