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MID CAROLINA INTERNAL MEDICINE ASSOC.LLC NPI 1154336105


NPI Information

NPI: 1154336105
Provider Name: MID CAROLINA INTERNAL MEDICINE ASSOC.LLC

Doing Business As: LEXINGTON PULMONARY AND CRITICAL CARE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
108 PALMETTO PARK BLVD
SUITE C
LEXINGTON, SC
ZIP 29072
Phone: (803) 520-5100
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MID CAROLINA INTERNAL MEDICINE ASSOC.LLC is a specialist in Lexington, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MID CAROLINA INTERNAL MEDICINE ASSOC.LLC NPI is 1154336105. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lexington Pulmonary And Critical Care.

The provider's business location address is:

108 PALMETTO PARK BLVD
SUITE C
LEXINGTON, SC
ZIP 29072-968
Phone: (803) 520-5100
Fax: (803) 520-5104

The provider's authorized official is Donald Elton .
The authorized official title is Owner and has the following contact phone number (803) 520-5100.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP2341MEDICAIDSOUTH CAROLINA
2C15095OTHERSOUTH CAROLINARAIL ROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.