Organization Name: | SPARTANBURG MEDICAL CENTER |
NPI Number: | 1295824159 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH MEINKE (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 391 Serpentine Dr Suite 400, Doctor's Center Spartanburg |
State: | SC US |
Postal Code: | 293033096 |
Phone Number: | 8645607517 |
Fax Number: | 8645607520 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |