| Medical Group Of The Carolinas - Internal Medicine - Spartanburg | |
|
100 East Wood St Suite 401 Spartanburg SC 29303-3040 | |
| (864) 560-6851 | |
| (864) 560-7312 |
| Full Name | Medical Group Of The Carolinas - Internal Medicine - Spartanburg |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 East Wood 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 - Internal Medicine - Spartanburg Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Internal Medicine - Spartanburg 100 East Wood St Suite 401 Spartanburg SC 29303-3040 Ph: (864) 560-6851 |
| NPI Number | 1568402147 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568402147 | NPI | - | NPPES |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
| 690143X | Medicaid | NC | |
| GP1118 | Medicaid | SC | |
| GP5635 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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