St. Andrews Surgical Assoc. Pc

LBN: St. Andrews Surgical Assoc. Pc
St. Andrews Surgical Assoc. Pc is an health care organization with primary practice located at 1006 Old Chapin Rd , Lexington SC 29072-9549. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. St. Andrews Surgical Assoc. Pc can be contacted via phone (803) 359-7434, or through Clemenz, Frederick Wayne via phone (803) 359-7434.

Contact Information

Primary practice address
1006 Old Chapin Rd Lexington SC 29072-9549
Phone: (803) 359-7434
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clemenz, Frederick Wayne Doctor of Medicine (MD)
Phone: (803) 359-7434

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD5755 South Carolina

Profile Details

NPI number 1265696439
LBN Legal business name St. Andrews Surgical Assoc. Pc
DBA Doing business as
Authorized official Clemenz, Frederick Wayne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2008
Last updated Jul 16th, 2008 - about 18 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 1265696439 NPPES
South Carolina MEDICAID 057556

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