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Contact Information

ST. ANDREWS SURGICAL ASSOC. PC
1006 OLD CHAPIN RD
LEXINGTON, SC29072-9549
 Phone: 803-359-7434
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ST. ANDREWS SURGICAL ASSOC. PC

NPI Number 1265696439
LBN Legal business name ST. ANDREWS SURGICAL ASSOC. PC
Authorized official FREDERICK CLEMENZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2008
Last updated 07/16/2008 - About 18 years ago
Identifiers
SC License # MD5755
SC Medicaid 057556
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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