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Contact Information

LEAH ANTUNES, CMA
110 MOCKINGBIRD DR
LEXINGTON, SC29073-8739
 Phone: 803-237-4103
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exclusive Provider Organization

302F00000X
 

Community/Behavioral Health

251S00000X
 

Driver

172A00000X
 

Private Vehicle

347C00000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for

NPI # 1154795615
Entity Organization
Organization subpart 1 Not specified
Enumeration date 11/20/2015
Last updated 06/23/2016 - About 10 years ago
Identifiers
SC License # 100295992
SC License # 47-5267829
SC License # 475267829
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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