Bamberg Emergency Group Pc

LBN: Bamberg Emergency Group Pc
Bamberg Emergency Group Pc is an health care organization with primary practice located at 509 North St , Bamberg SC 29003-1330. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Bamberg Emergency Group Pc can be contacted via phone (803) 245-4321, or through Waller, Sylvan M via phone (800) 893-9698.

Contact Information

Primary practice address
509 North St Bamberg SC 29003-1330
Phone: (803) 245-4321
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waller, Sylvan M Doctor of Medicine (MD)
Phone: (800) 893-9698

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1407012701
LBN Legal business name Bamberg Emergency Group Pc
DBA Doing business as
Authorized official Waller, Sylvan M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2008
Last updated Sep 17th, 2010 - about 15 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 1407012701 NPPES
South Carolina MEDICAID GP4982

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