| Medical Group Of The Carolinas - Immediate Care Center - Westside | |
|
151 Peachwood Centre Dr Spartanburg SC 29301-2575 | |
| (864) 560-9627 | |
| (864) 562-5470 |
| Full Name | Medical Group Of The Carolinas - Immediate Care Center - Westside |
|---|---|
| Speciality | Family Medicine |
| Location | 151 Peachwood Centre 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 - Immediate Care Center - Westside Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Immediate Care Center - Westside 151 Peachwood Centre Dr Spartanburg SC 29301-2575 Ph: (864) 560-9627 |
| NPI Number | 1508819483 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508819483 | NPI | - | NPPES |
| GP5864 | Medicaid | SC | |
| GP1118 | Medicaid | SC | |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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