National Provider Identifier Database

SOUTHEAST PULMONARY AND CRITICAL CARE LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

SOUTHEAST PULMONARY AND CRITICAL CARE LLC
370 S HERLONG AVE
SUITE 200
ROCK HILL, SC29732-1160
Phone: 803-980-5864
Fax: 803-980-5817
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for SOUTHEAST PULMONARY AND CRITICAL CARE LLC

NPI Number 1275830507
Legal business name
LBN
SOUTHEAST PULMONARY AND CRITICAL CARE LLC
Authorized official CLAY SPENCE - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 02/23/2011
Last updated 04/03/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 21599
  • SC Medicaid: 215992

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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