| Spartanburg Medical Center | |
|
1540 Drayton Rd. Drayton SC 29333-9800 | |
| (864) 560-4070 | |
| (864) 560-4035 |
| Full Name | Spartanburg Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1540 Drayton Rd., Drayton, 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 |
|---|---|
| Spartanburg Medical Center Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Spartanburg Medical Center 1540 Drayton Rd. Drayton SC 29333-9800 Ph: (864) 560-4070 |
| NPI Number | 1750573036 |
|---|---|
| Provider Enumeration Date | 08/10/2007 |
| Last Update Date | 09/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750573036 | NPI | - | NPPES |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
| GP1118 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |