| Medical Group Of The Carolinas - Infectious Disease- Skylyn | |
|
1690 Skylyn Dr Ste 300b Spartanburg SC 29307-1022 | |
| (864) 342-4000 | |
| (864) 596-7409 |
| Full Name | Medical Group Of The Carolinas - Infectious Disease- Skylyn |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1690 Skylyn Dr Ste 300b, Spartanburg, South Carolina |
| Authorized Official Name and Position | Kenneth J Meinke (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8645606103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group Of The Carolinas - Infectious Disease- Skylyn Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Infectious Disease- Skylyn 1690 Skylyn Dr Ste 300b Spartanburg SC 29307-1022 Ph: (864) 342-4000 |
| NPI Number | 1083183172 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 03/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083183172 | NPI | - | NPPES |
| 5019 | Other | SC | MEDICARE PIN |
| GP8768 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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