| Medical Group Of The Carolinas - Infectious Disease | |
|
853 N Church St Suite 410a Spartanburg SC 29303-3098 | |
| (864) 560-6928 | |
| (864) 560-7329 |
| Full Name | Medical Group Of The Carolinas - Infectious Disease |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 853 N Church St, 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 - Infectious Disease Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4057 | Medical Group Of The Carolinas - Infectious Disease 853 N Church St Suite 410a Spartanburg SC 29303-3098 Ph: (864) 560-6928 |
| NPI Number | 1639273022 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639273022 | NPI | - | NPPES |
| 5906123 | Other | NC | NC MEDICAID |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP# |
| 5906123 | Medicaid | NC | |
| GP1118 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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