| Medical Group Of The Carolinas - Neurology - Spartanburg | |
|
1650 Skylyn Dr Ste 200 Spartanburg SC 29307-1069 | |
| (864) 560-6000 | |
| Not Available |
| Full Name | Medical Group Of The Carolinas - Neurology - Spartanburg |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1650 Skylyn Dr Ste 200, Spartanburg, South Carolina |
| Authorized Official Name and Position | Kenneth J Meinke (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8645606103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group Of The Carolinas - Neurology - Spartanburg Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Neurology - Spartanburg 1650 Skylyn Dr Ste 200 Spartanburg SC 29307-1069 Ph: (864) 560-6000 |
| NPI Number | 1306411228 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 06/18/2021 |
| Certification Date | 06/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306411228 | NPI | - | NPPES |
| 5019 | Other | SC | MEDICARE PIN |
| PG0406 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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