| Medical Group Of The Carolinas - Wound Healing Services | |
|
853 N Church St Suite 701 Spartanburg SC 29303-3098 | |
| (864) 560-1650 | |
| (864) 560-1655 |
| Full Name | Medical Group Of The Carolinas - Wound Healing Services |
|---|---|
| Speciality | Family Medicine |
| 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 - Wound Healing Services Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Wound Healing Services 853 N Church St Suite 701 Spartanburg SC 29303-3098 Ph: (864) 560-1650 |
| NPI Number | 1972513679 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972513679 | NPI | - | NPPES |
| PG9980 | Medicaid | SC | |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
| 5906866 | Medicaid | NC | |
| GP4491 | Medicaid | SC |
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