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Contact Information

UNIVERSITY MEDICAL ASSOCIATE OF THE MEDICAL UNIVERSITY OF SOUTH CAROLI
171 ASHLEY AVE
CHARLESTON, SC29425-8908
 Phone: 843-792-1414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Audiologist

231H00000X 64 Audiologist
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for UNIVERSITY MEDICAL ASSOCIATE OF THE MEDICAL UNIVERSITY OF SOUTH CAROLI

NPI Number 1386795318
LBN Legal business name UNIVERSITY MEDICAL ASSOCIATE OF THE MEDICAL UNIVERSITY OF SOUTH CAROLI
Authorized official KARYN RAE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2007
Last updated 12/04/2024 - More than a year ago
Identifiers
SC Medicaid GP0819
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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