Spartanburg Medical Center
Surgery in Spartanburg, SC. Organization (NPI-2).
NPI number1861961963
StatusActive
Last updated in NPPESAug 3, 2020
Details
- NPI
- 1861961963
- Entity type
- Organization (NPI-2)
- Legal business name
- Spartanburg Medical Center
- Organization subpart
- Yes
- Enumeration date
- Nov 19, 2018
- Certification date
- Aug 3, 2020
- Last updated
- Aug 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Other names
- Medical Group Of The Carolinas- Division Of Surgery -Skylyn (Doing Business As)
Practice location
1690 Skylyn Dr Ste 350Spartanburg, SC 29307-1039
Phone 864-577-1600 · Fax 864-278-7085
Mailing address
Po Box 743070Atlanta, GA 30374-3070
Phone 864-560-4304 · Fax 864-560-4413
Authorized official
Kenneth J Meinke
Chief Financial Officer
8645606103
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