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Nextphasemd
Medical Specialty Clinic/Center in Hartsville, South Carolina
NPI 1225492168

Nextphasemd is a Medical Specialty Clinic/Center based in Hartsville, SC and is specialized in Medical Specialty. Nextphasemd practices in Hartsville, SC. The NPI Number for Nextphasemd is 1225492168 and holds a License No. 22891 (South Carolina).

The current practice location address for Nextphasemd is 107 W College Ave, Hartsville, SC and can be reached out via phone at 843-861-2726.

Location: 107 W College Ave, Hartsville, SC, 29551-1763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225492168
Provider Name
Nextphasemd
Credential
Provider Entity Type
Organization
Address
107 W College Ave, Hartsville, SC, 29551-1763
Phone Number
843-861-2726
Fax Number
Provider Enumeration Date
04/06/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22891 01 SC SC STATE LICENSE
228916 05 SC
SC 2958B578 01 SC PTAN
institution
Provider Business Practice Location Address Details
Address
107 W College Ave
City
Hartsville
State
South Carolina
Zip
29550-4113
Phone Number
843-861-2726
Fax Number
person
Provider Business Mailing Address Details
Address
107 W College Ave
City
Hartsville
State
South Carolina
Zip
29550-4113
Phone Number
843-861-2726
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
22891 (South Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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