| Medical Group Of The Carolinas - Family Medicine - Cedar Springs | |
|
2191 Southport Rd Spartanburg SC 29306-6257 | |
| (864) 216-4840 | |
| (864) 583-5485 |
| Full Name | Medical Group Of The Carolinas - Family Medicine - Cedar Springs |
|---|---|
| Speciality | Family Medicine |
| Location | 2191 Southport Rd, 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 - Family Medicine - Cedar Springs Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Family Medicine - Cedar Springs 2191 Southport Rd Spartanburg SC 29306-6257 Ph: (864) 216-4840 |
| NPI Number | 1821567017 |
|---|---|
| Provider Enumeration Date | 11/16/2018 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821567017 | NPI | - | NPPES |
| GP8769 | Medicaid | SC | |
| 6084 | Other | SC | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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