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MEDEXPRESS PRIMARY CARE SOUTH CAROLINA P.C. NPI 1336633510


NPI Information

NPI: 1336633510
Provider Name: MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.

Doing Business As: ANDERSON MICHELIN FAMILY HEALTH CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
10 BIB WAY
ANDERSON, SC
ZIP 29626
Phone: (864) 332-1793
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MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C. is a general practice in Anderson, SC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C. NPI is 1336633510. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Anderson Michelin Family Health Center.

The provider's business location address is:

10 BIB WAY
ANDERSON, SC
ZIP 29626
Phone: (864) 332-1793
Fax: (864) 332-1798

The provider's authorized official is Brett Gall .
The authorized official title is Director Payor Contracting and has the following contact phone number (304) 225-2500.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 7/2/2018.


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
1207Q00000XFamily MedicineNo
2208D00000XGeneral PracticeYes

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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