Southernmed Pediatrics Hillcrest

LBN: Southern Medical Management, Llc
Southernmed Pediatrics Hillcrest is an health care organization with primary practice located at 424 Old Cherokee Rd , Lexington SC 29072-6972. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Southern Medical Management, Llc can be contacted via phone (803) 520-9380, or through Guyton, R. Kyle via phone (803) 520-5800.

Contact Information

Primary practice address
424 Old Cherokee Rd Lexington SC 29072-6972
Phone: (803) 520-9380
Fax: (803) 520-9380
Website:
Map and Directions
Authorized official contact:
Name: Guyton, R. Kyle Doctor of Medicine (MD)
Phone: (803) 520-5800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1114196557
LBN Legal business name Southern Medical Management, Llc
DBA Doing business as Southernmed Pediatrics Hillcrest
Authorized official Guyton, R. Kyle Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2008
Last updated Oct 4th, 2019 - about 7 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 1114196557 NPPES
South Carolina MEDICAID GP4862

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