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Spartanburg Regional Med Ctr

Family Medicine in Spartanburg, SC. Organization (NPI-2).

NPI number1497900641
StatusActive
Last updated in NPPESDec 1, 2008

Details

NPI
1497900641
Entity type
Organization (NPI-2)
Legal business name
Spartanburg Regional Med Ctr
Organization subpart
Yes
Enumeration date
Dec 1, 2008
Last updated
Dec 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism––
207RG0100X Internal Medicine, Gastroenterology––
207RR0500X Internal Medicine, Rheumatology––
207V00000X Obstetrics & Gynecology––
207W00000X Ophthalmology––
208000000X Pediatrics––
208600000X Surgery––
2086H0002X Surgery, Hospice and Palliative Medicine––
2086S0122X Surgery, Plastic and Reconstructive Surgery––
2086S0129X ––
2088P0231X Urology, Pediatric Urology––
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––

Other names

  • Spartanburg Regional Physician Network (Doing Business As)

Practice location

101 E Wood St
Spartanburg, SC 29303-3040

Phone 864-560-4304 · Fax 864-560-4413

Mailing address

Po Box 2168
Spartanburg, SC 29304-2168

Phone 864-560-4304 · Fax 864-560-4413

Authorized official

Gina Michelle Ruiz
Contract Management Coordinator
8645606457

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