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Contact Information

HARDEEVILLE MEDICAL GROUP, LLC
1010 MEDICAL CENTER DR
SUITE 210
HARDEEVILLE, SC29927-3447
 Phone: 843-645-8220
 Fax: 843-645-8221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for HARDEEVILLE MEDICAL GROUP, LLC

NPI # 1417315771
LBN Legal business name HARDEEVILLE MEDICAL GROUP, LLC
Authorized official WESLEY JAMES - (REGIONAL CFO, TENET)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2016
Last updated 03/15/2017 - About 9 years ago
Identifiers n/a
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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