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SPARTANBURG MEDICAL CENTER NPI 1033150875


NPI Information

NPI: 1033150875
Provider Name: SPARTANBURG MEDICAL CENTER

Doing Business As: MEDICAL GROUP OF THE CAROLINAS - DIABETES AND ENDOCRINOLOGY - SPARTANB

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
853 N CHURCH ST
SUITE 720
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-6419
Get Directions

SPARTANBURG MEDICAL CENTER is an endocrinology and diabetes and metabolism internal medicine in Spartanburg, SC. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. SPARTANBURG MEDICAL CENTER NPI is 1033150875. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Group Of The Carolinas - Diabetes And Endocrinology - Spartanb.

The provider's business location address is:

853 N CHURCH ST
SUITE 720
SPARTANBURG, SC
ZIP 29303-098
Phone: (864) 560-6419
Fax: (864) 560-7498

The provider's authorized official is Kenneth Meinke .
The authorized official title is Chief Financial Officer and has the following contact phone number (864) 560-6000.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 4/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DEP019MEDICAIDSOUTH CAROLINA
2CN1627OTHERSOUTH CAROLINARAILROAD MEDICARE GROUP #
35906868MEDICAIDNORTH CAROLINA
4GP2425MEDICAIDSOUTH CAROLINA
5Q601200001OTHERSOUTH CAROLINAMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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