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Contact Information

FORT SUMTER SURGICAL CLINIC
1230 HOSPITAL DR
SUITE A
MOUNT PLEASANT, SC29464-3251
 Phone: 843-971-4673
 Fax: 843-971-3355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for FORT SUMTER SURGICAL CLINIC

NPI # 1437322542
LBN Legal business name FORT SUMTER SURGICAL CLINIC
Authorized official WILLIAM LYNCH - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2008
Last updated 04/10/2008 - About 18 years ago
Identifiers
SC License # 27394
SC Medicaid 273947
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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