Organization · Type 2 NPI

Spartanburg Medical Center

Urology Physician · Spartanburg, SC

NPI number 1689143786 Active

Practice location

11 Doctors Park Dr Ste 220
Spartanburg, SC 29307-1008

Call (864) 253-8055 Map

Fax (864) 253-8126

Mailing address

PO Box 743070
Atlanta, GA 30374-3070

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3 other providers at this address

Other urology physician providers in Spartanburg

Mary Black Health System, LLCUrology Physician Spartanburg, SC NPI 1376551713

See all in Spartanburg →

NPI record

NPI: 1689143786
Entity type: Organization (Type 2)
Issued: Nov 19, 2018
Last updated: Mar 13, 2019
Status: Active
Subpart: Yes of Spartanburg Regional Health Services District, Inc.

Other names

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Medical Group of the Carolinas-Urology -Skylyn · doing business as

Authorized official

Kenneth J Meinke
Chief Financial Officer
(864) 560-6103

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689143786

Spartanburg Medical Center's National Provider Identifier is 1689143786, issued on Nov 19, 2018. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Spartanburg, SC. The record was last updated on Mar 13, 2019.