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Contact Information

AIKEN INTEGRATED MEDICAL, PC
37 VARDEN DR
AIKEN, SC29803-5297
 Phone: 803-644-7897
 Fax: 803-643-3026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

111NN0400X 35 Chiropractic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AIKEN INTEGRATED MEDICAL PC · (Female)

NPI Number 1184710287
Status Active
Credentials
Entity Individual
Enumeration date 10/05/2006
Last updated 10/16/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 19409
  • SC License # 4792
  • SC License # CH1305
  • SC License # CH2685
  • SC Medicaid 194097
  • SC Medicaid CH1305
  • SC Medicaid CH2685
  • SC Medicaid GCH374
  • SC Medicaid GP3388
  • SC Medicaid GP4283
  • SC Medicaid TH1627
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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