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PECORA MEDICAL PC NPI 1275825994


NPI Information

NPI: 1275825994
Provider Name: PECORA MEDICAL, PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 42D0929061

Address:
803 N FANT ST STE 3A
ANDERSON, SC
ZIP 29621
Phone: (864) 225-7401
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PECORA MEDICAL, PC is an internal medicine in Anderson, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PECORA MEDICAL, PC NPI is 1275825994. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

803 N FANT ST STE 3A
ANDERSON, SC
ZIP 29621-718
Phone: (864) 225-7401
Fax: (864) 225-7201

The provider's authorized official is Claudia Panameno .
The authorized official title is Practice Manager and has the following contact phone number (864) 225-7401.

The CLIA number assigned to this NPI record is 42D0929061 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2011 and was last updated on 10/24/2018.


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
1207RA0401XInternal MedicineAddiction MedicineNo
2207RH0002XInternal MedicineHospice and Palliative MedicineNo
3207R00000XInternal MedicineYes

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
1GP8549MEDICAIDSOUTH CAROLINA

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

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