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Contact Information

INTERNAL MEDICINE OF WALTERBORO
873 ROBERTSON BLVD
WALTERBORO, SC29488
 Phone: 843-542-9535
 Fax: 843-542-9675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE OF WALTERBORO

NPI # 1487792248
LBN Legal business name INTERNAL MEDICINE OF WALTERBORO
Authorized official JEFFREY KRAMER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2007
Last updated 05/14/2013 - About 13 years ago
Identifiers
SC License # 18426
SC Medicaid 184268
SC Medicaid GP2942
SC Other G649288697 MEDICARE ID
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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