| Medical Group Of The Carolinas - Internal Medicine - Westside | |
|
8311 Warren H Abernathy Hwy Spartanburg SC 29301-1249 | |
| (864) 560-6563 | |
| Not Available |
| Full Name | Medical Group Of The Carolinas - Internal Medicine - Westside |
|---|---|
| Speciality | Internal Medicine |
| Location | 8311 Warren H Abernathy Hwy, 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 - Internal Medicine - Westside Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Internal Medicine - Westside 8311 Warren H Abernathy Hwy Spartanburg SC 29301-1249 Ph: (864) 560-6563 |
| NPI Number | 1174933501 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174933501 | NPI | - | NPPES |
| GP6479 | Medicaid | SC | |
| 5019 | Other | SC | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (South Carolina) | Primary |
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