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Contact Information

BAMBERG EMERGENCY GROUP PC
509 NORTH ST
BAMBERG, SC29003-1330
 Phone: 803-245-4321
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BAMBERG EMERGENCY GROUP PC

NPI # 1407012701
LBN Legal business name BAMBERG EMERGENCY GROUP PC
Authorized official SYLVAN WALLER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2008
Last updated 09/17/2010 - About 16 years ago
Identifiers
SC Medicaid GP4982
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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