Internal Medicine Pa in Surfside Beach - Internal Medicine

Internal Medicine Pa - NPI 1811917727

Internal Medicine Pa is a Internal Medicine in Surfside Beach, South Carolina. Internal Medicine Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Internal Medicine Pa is 1811917727. The last update date is 2007-10-31.

Internal Medicine Pa's current location address is 1120 Glenns Bay Road, Surfside Beach, South Carolina. You can contact this provider via phone number 8432155492 and fax number 8432155512. The mailing address for Internal Medicine Pa is 1120 Glenns Bay Road, Surfside Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Internal Medicine Pa
Address 1120 Glenns Bay Road, Surfside Beach, South Carolina
Phone Number 8432155492
Fax Number 8432155512
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Sterling A Janice
Credentials LPN
Telephone Number 8432155492

NPI Number Detail

NPI Number 1811917727
Provider Enumeration Date 2006-07-21
Last Updated Date 2007-10-31

Provider Mailing Address Detail

Address 1120 Glenns Bay Road
City Surfside Beach
State South Carolina (SC)
Post Code 295754757
Phone Number 8432155492
Fax Number 8432155512

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 17046
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
170460 SC --

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FAQs about Internal Medicine Pa

What is the unique identifier code issued to Internal Medicine Pa by the Centers for Medicare & Medicaid Services (CMS)?

The Internal Medicine Pa has been assigned the NPI (National Provider Identifier) 1811917727. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Internal Medicine Pa is physically located?

The Internal Medicine Pa is situated at the following address: 1120 Glenns Bay Road, Surfside Beach, SC 295754757.

What is Internal Medicine Pa's area of expertise and its corresponding taxonomy classification?

The Internal Medicine Pa's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1811917727 to Internal Medicine Pa?

The Centers for Medicare & Medicaid Services originally issued the 1811917727 to Internal Medicine Pa on 2006-07-21.

As of what date were the Internal Medicine Pa's details last updated?

The information pertaining to the Internal Medicine Pa, including its address, specialty, and other details, was most recently updated on 2007-10-31.

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