Covenant Surgical Care Llc in Clinton - Specialist

Covenant Surgical Care Llc - NPI 1376674143

Covenant Surgical Care Llc is a Specialist in Clinton, South Carolina. Covenant Surgical Care Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Covenant Surgical Care Llc is 1376674143. The last update date is 2008-04-20.

Covenant Surgical Care Llc's current location address is Po Box 120, Clinton, South Carolina. You can contact this provider via phone number 8648334166 and fax number 8648335668. The mailing address for Covenant Surgical Care Llc is Po Box 120, Clinton, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Covenant Surgical Care Llc
Address Po Box 120, Clinton, South Carolina
Phone Number 8648334166
Fax Number 8648335668
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Murray Sharon B
Credentials MD
Telephone Number 8648334166

NPI Number Detail

NPI Number 1376674143
Provider Enumeration Date 2007-03-07
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address Po Box 120
City Clinton
State South Carolina (SC)
Post Code 293250120
Phone Number 8648334166
Fax Number 8648335668

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 27503
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B0828 SC MEDCOST
DE8167 SC MEDICARE RR
GP4108 SC --

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FAQs about Covenant Surgical Care Llc

What is the unique identifier code issued to Covenant Surgical Care Llc by the Centers for Medicare & Medicaid Services?

The Covenant Surgical Care Llc has been assigned the NPI (National Provider Identifier) 1376674143. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Covenant Surgical Care Llc is physically located?

The Covenant Surgical Care Llc is physically situated at the following address: Po Box 120, Clinton, SC, 293250120.

What is Covenant Surgical Care Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Covenant Surgical Care Llc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1376674143 to Covenant Surgical Care Llc?

The Centers for Medicare & Medicaid Services assigned the 1376674143 to Covenant Surgical Care Llc on 2007-03-07.

As of what date was the information regarding Covenant Surgical Care Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Covenant Surgical Care Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-20.

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