| Medical Group Of The Carolinas - Carolina Family Physicians | |
|
1690 Skylyn Dr Ste 210 Spartanburg SC 29307-1075 | |
| (864) 253-8170 | |
| (864) 585-8144 |
| Full Name | Medical Group Of The Carolinas - Carolina Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 1690 Skylyn Dr Ste 210, Spartanburg, South Carolina |
| Authorized Official Name and Position | Bruce A Davis (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 - Carolina Family Physicians Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Carolina Family Physicians 1690 Skylyn Dr Ste 210 Spartanburg SC 29307-1075 Ph: (864) 253-8170 |
| NPI Number | 1174092449 |
|---|---|
| Provider Enumeration Date | 11/16/2018 |
| Last Update Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174092449 | NPI | - | NPPES |
| GP8751 | Medicaid | SC | |
| 6084 | Other | SC | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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