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General NPI Number Information
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NPI Number | 1699729939
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Entity Type | Organization
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Legal Business Name | SPARTANBURG MEDICAL CENTER
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 101 E WOOD ST EMERGENCY CENTER
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City | SPARTANBURG
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State | SC
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Zip | 29303-3040
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Country | US
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Telephone | 864-560-7025
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Fax | 864-560-7388
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Provider Business Mailing Address
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Address Line | PO BOX 743070
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City | ATLANTA
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State | GA
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Zip | 30384-3070
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Country | US
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Telephone | 864-560-4304
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Fax | 864-560-4413
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | BRUCE A DAVIS
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Credential |
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Telephone | 864-560-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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