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Contact Information

MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.
525 MICHELIN RD
GREENVILLE, SC29605
 Phone: 864-458-1376
 Fax: 864-458-1382
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.

NPI # 1285128462
LBN Legal business name MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.
Authorized official BRETT GALL - (DIRECTOR PAYOR CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2018
Last updated 07/02/2018 - About 8 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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