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Mid Carolina Internal Medicine Assoc.llc
Specialist in Lexington, South Carolina
NPI 1154336105

Mid Carolina Internal Medicine Assoc.llc is a Specialist based in Lexington, SC. Mid Carolina Internal Medicine Assoc.llc practices in Lexington, SC. The NPI Number for Mid Carolina Internal Medicine Assoc.llc is 1154336105 and holds a License No. (South Carolina).

The current practice location address for Mid Carolina Internal Medicine Assoc.llc is 108 Palmetto Park Blvd, Lexington, SC and can be reached out via phone at 803-520-5100 and via fax at 803-520-5104.

Location: 108 Palmetto Park Blvd, Lexington, SC, 29072-7968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154336105
Provider Name
Mid Carolina Internal Medicine Assoc.llc
Credential
Provider Entity Type
Organization
Address
108 Palmetto Park Blvd, Lexington, SC, 29072-7968
Phone Number
803-520-5100
Fax Number
803-520-5104
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP2341 05 SC
C15095 01 SC RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
108 Palmetto Park Blvd
City
Lexington
State
South Carolina
Zip
29072-7968
Phone Number
803-520-5100
Fax Number
803-520-5104
person
Provider Business Mailing Address Details
Address
108 Palmetto Park Blvd
City
Lexington
State
South Carolina
Zip
29072-7968
Phone Number
803-520-5100
Fax Number
803-520-5104
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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