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General NPI Number Information
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NPI Number | 1720470206
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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 | 02/20/2015
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 2755 S HIGHWAY 14 SUITE 1200H
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City | GREER
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State | SC
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Zip | 29650-4902
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Country | US
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Telephone | 864-585-5433
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Fax | 864-591-4053
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Provider Business Mailing Address
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Address Line | PO BOX 2288
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City | SPARTANBURG
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State | SC
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Zip | 29304-2288
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Country | US
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Telephone | 864-585-5433
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Fax | 864-591-4053
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KENNETH MEINKE
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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