Conway Adult Medicine

LBN: Conway Adult Medicine
Conway Adult Medicine is an health care organization with primary practice located at 903 Bell St , Conway SC 29526-4113. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Conway Adult Medicine can be contacted via phone (843) 248-7568, or through Martin, Irene via phone (843) 248-7568.

Contact Information

Primary practice address
903 Bell St Conway SC 29526-4113
Phone: (843) 248-7568
Fax: (843) 248-3906
Website:
Map and Directions
Authorized official contact:
Name: Martin, Irene
Phone: (843) 248-7568

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12032 South Carolina

Profile Details

NPI number 1477517209
LBN Legal business name Conway Adult Medicine
DBA Doing business as
Authorized official Martin, Irene
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Jun 21st, 2010 - about 16 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 1477517209 NPPES
South Carolina MEDICAID PA8688

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