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Contact Information

CENTA MEDICAL GROUP PA
157 CORLEY MILL RD
LEXINGTON, SC29072
 Phone: 803-256-2483
 Fax: 803-799-4624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CENTA MEDICAL GROUP PA

NPI Number 1881626133
LBN Legal business name CENTA MEDICAL GROUP PA
Authorized official JANE ALBRIGHT - (CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2006
Last updated 07/21/2014 - About 12 years ago
Identifiers
SC Medicaid PA1382
Other DC6996 RAILROAD MEDICARE
SC Other GP4644 MEDICAID AUDIOLOGY GRP NUMBER
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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