Advanced Medical Associates Of Summerville in Summerville - General Practice
Advanced Medical Associates Of Summerville - NPI 1790748150
Advanced Medical Associates Of Summerville is a General Practice in Summerville, South Carolina. Advanced Medical Associates Of Summerville practices all healthcare services and medical treatments related to General Practice. The NPI Number for Advanced Medical Associates Of Summerville is 1790748150. The last update date is 2023-03-07.
Advanced Medical Associates Of Summerville's current location address is 1711 N Main St, Summerville, South Carolina. You can contact this provider via phone number 8438752268 and fax number 8438752267. The mailing address for Advanced Medical Associates Of Summerville is 1711 N Main St, Summerville, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Advanced Medical Associates Of Summerville |
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Address | 1711 N Main St, Summerville, South Carolina |
Phone Number | 8438752268 |
Fax Number | 8438752267 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Etheridge Lloyd Jon |
Credentials | DC |
Telephone Number | 8438752268 |
NPI Number Detail
NPI Number | 1790748150 |
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Provider Enumeration Date | 2006-04-07 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 1711 N Main St |
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City | Summerville |
State | South Carolina (SC) |
Post Code | 294837807 |
Phone Number | 8438752268 |
Fax Number | 8438752267 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | 15987 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
GP4385 | SC | -- | |
2015987 | SC | CDS | |
CH1243 | SC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Advanced Medical Associates Of Summerville by the Centers for Medicare & Medicaid Services?
The Advanced Medical Associates Of Summerville has been issued the NPI (National Provider Identifier) 1790748150. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Advanced Medical Associates Of Summerville?
The Advanced Medical Associates Of Summerville is situated at 1711 N Main St, in the city of Summerville, state of SC, with the zip code 294837807.
What is the area of specialization for Advanced Medical Associates Of Summerville, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Advanced Medical Associates Of Summerville is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.
On what date was the 1790748150 assigned to Advanced Medical Associates Of Summerville?
The Advanced Medical Associates Of Summerville was issued its 1790748150 on 2006-04-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Advanced Medical Associates Of Summerville last refreshed?
The information related to the Advanced Medical Associates Of Summerville, including its address, specialty, and other relevant details, was last updated on 2023-03-07.