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SPARTANBURG MEDICAL CENTER NPI 1457386815


NPI Information

NPI: 1457386815
Provider Name: SPARTANBURG MEDICAL CENTER

Doing Business As: MEDICAL GROUP OF THE CAROLINAS - MAGNOLINA PLASTIC SURGERY - SPARTANBU

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
391 SERPENTINE DR
SUITE 250
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-6717
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SPARTANBURG MEDICAL CENTER is a plastic and reconstructive surgery surgery in Spartanburg, SC. The provider is a surgeon who specializes in plastic and reconstructive surgery. SPARTANBURG MEDICAL CENTER NPI is 1457386815. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medical Group Of The Carolinas - Magnolina Plastic Surgery - Spartanbu.

The provider's business location address is:

391 SERPENTINE DR
SUITE 250
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-6717
Fax: (864) 560-7105

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 7/12/2006 and was last updated on 12/10/2014.


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
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

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
1GP1118MEDICAIDSOUTH CAROLINA
2CN1627OTHERSOUTH CAROLINARAILROAD MEDICARE GROUP #
35906122MEDICAIDNORTH CAROLINA
47628MEDICARE PINSOUTH CAROLINA

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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