SPARTANBURG MEDICAL CENTER NPI 1710081112

NPI Information

SPARTANBURG MEDICAL CENTER is an occupational medicine clinic center in Spartanburg, SC. SPARTANBURG MEDICAL CENTER NPI is 1710081112. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2660 REIDVILLE RD UNIT 1
SPARTANBURG, SC
ZIP 29301
Phone: (864) 560-9696
Fax: (864) 562-9636

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 CLIA number assigned to this NPI record is 42D2104031 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 6/12/2018.

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:

Other Identifiers

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

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