Rearden Internal Medicine & Geriatrics Llc
LBN: Rearden Internal Medicine & Geriatrics Llc
Rearden Internal Medicine & Geriatrics Llc is an health care organization with primary practice located at 1205 Wisteria Rd , Charleston SC 29407-5226. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty.
Rearden Internal Medicine & Geriatrics Llc can be contacted via phone (843) 277-2771, or through Rearden, Gail Lashun via phone (843) 277-2771.
Contact Information
Primary practice address
1205 Wisteria Rd
Charleston SC 29407-5226
Phone: (843) 277-2771
Fax: (843) 277-2778
Website:
Authorized official contact:
Name: Rearden, Gail Lashun Doctor of Medicine (MD)
Phone: (843) 277-2771
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X |
Profile Details
| NPI number | 1245552843 |
|---|---|
| LBN Legal business name | Rearden Internal Medicine & Geriatrics Llc |
| DBA Doing business as | |
| Authorized official | Rearden, Gail Lashun Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2010 |
| Last updated | May 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245552843 | NPPES |
| South Carolina | Other | 42D2093779 | CLIA WAIVER |
| South Carolina | MEDICAID | 302586 | CLIA WAIVER |
| South Carolina | Other | 42D2052192 | CLIA WAIVER |
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