Alliance Medical Group

LBN: Alliance Medical Group
Alliance Medical Group is an health care organization with primary practice located at 2179 Ashley Phosphate Rd Ste B , North Charleston SC 29406-4180. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Alliance Medical Group can be contacted via phone (843) 225-7317, or through Leyva, Stephanie via phone (843) 225-7317.

Contact Information

Primary practice address
2179 Ashley Phosphate Rd Ste B North Charleston SC 29406-4180
Phone: (843) 225-7317
Fax: (843) 225-7318
Website:
Map and Directions
Authorized official contact:
Name: Leyva, Stephanie
Phone: (843) 225-7317

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1871878595
LBN Legal business name Alliance Medical Group
DBA Doing business as
Authorized official Leyva, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2011
Last updated Apr 2nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871878595 NPPES
South Carolina MEDICAID GP6340

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