| Medical Group Of The Carolinas - Psychiatry | |
|
391 Serpentine Dr Suite 400, Doctor's Center Spartanburg SC 29303-3096 | |
| (864) 560-7517 | |
| (864) 560-7520 |
| Full Name | Medical Group Of The Carolinas - Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 391 Serpentine Dr, Spartanburg, South Carolina |
| Authorized Official Name and Position | Kenneth Meinke (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8645606000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group Of The Carolinas - Psychiatry Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Psychiatry 391 Serpentine Dr Suite 400, Doctor's Center Spartanburg SC 29303-3096 Ph: (864) 560-7517 |
| NPI Number | 1295824159 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295824159 | NPI | - | NPPES |
| GP1118 | Medicaid | SC | |
| 89014YV | Medicaid | NC | |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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