Cherokee Internal Medicine Pa

LBN: Cherokee Internal Medicine Pa
Cherokee Internal Medicine Pa is an health care organization with primary practice located at 211 W Montgomery Street , Gaffney SC 29341. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Cherokee Internal Medicine Pa can be contacted via phone (864) 488-1514, or through Ezman, Alfred T via phone (864) 488-1514.

Contact Information

Primary practice address
211 W Montgomery Street Gaffney SC 29341
Phone: (864) 488-1514
Fax: (864) 488-0552
Website:
Map and Directions
Authorized official contact:
Name: Ezman, Alfred T Doctor of Osteopathy (DO)
Phone: (864) 488-1514

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0687 South Carolina

Profile Details

NPI number 1386606556
LBN Legal business name Cherokee Internal Medicine Pa
DBA Doing business as
Authorized official Ezman, Alfred T Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Oct 17th, 2007 - about 19 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 1386606556 NPPES
South Carolina MEDICAID GP3720

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