Early Advantage, Llc in Awendaw - Pediatrics

Early Advantage, Llc - NPI 1912063660

Early Advantage, Llc is a Pediatrics in Awendaw, South Carolina. Early Advantage, Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Early Advantage, Llc is 1912063660. The last update date is 2013-11-19.

Early Advantage, Llc's current location address is 1320 Eden Rd, Awendaw, South Carolina. You can contact this provider via phone number 8432703567 and fax number 8438564932. The mailing address for Early Advantage, Llc is 1320 Eden Rd, Awendaw, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Early Advantage, Llc
Address 1320 Eden Rd, Awendaw, South Carolina
Phone Number 8432703567
Fax Number 8438564932
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER,THER
Authorized Official Name Reagan Batten Brenda
Credentials MS, OTR L
Telephone Number 8432703567

NPI Number Detail

NPI Number 1912063660
Provider Enumeration Date 2006-12-28
Last Updated Date 2013-11-19

Provider Mailing Address Detail

Address 1320 Eden Rd
City Awendaw
State South Carolina (SC)
Post Code 294295914
Phone Number 8432703567
Fax Number 8438564932

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 225Xp0200X
Licence No 1498
Definition:
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GP4022 SC --
TH1465 SC --

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FAQs about Early Advantage, Llc

What is the unique 10-digit identification code issued to Early Advantage, Llc by the Centers for Medicare & Medicaid Services?

The Early Advantage, Llc has been assigned the NPI (National Provider Identifier) 1912063660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Early Advantage, Llc's facilities are geographically located?

The facilities of Early Advantage, Llc are physically situated at the following location: 1320 Eden Rd, Awendaw, SC, 294295914.

What is Early Advantage, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Early Advantage, Llc is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 225Xp0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1912063660 to Early Advantage, Llc?

The Centers for Medicare & Medicaid Services assigned the 1912063660 to Early Advantage, Llc on 2006-12-28.

When was the Early Advantage, Llc's information last updated?

The Early Advantage, Llc's information was last updated on 2013-11-19.

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