OCONEE PHYSICIAN PRACTICES NPI 1407034127

NPI Information

NPI: 1407034127
Provider Name: OCONEE PHYSICIAN PRACTICES

Doing Business As: BETWEEN THE LAKES PRIMARY CARE

Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
106 RAM CAT ALY
SENECA, SC
ZIP 29678
Phone: (864) 888-4445
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OCONEE PHYSICIAN PRACTICES is a primary care nurse practitioner in Seneca, SC. OCONEE PHYSICIAN PRACTICES NPI is 1407034127. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Between The Lakes Primary Care.

The provider's business location address is:

106 RAM CAT ALY
SENECA, SC
ZIP 29678-244
Phone: (864) 888-4445
Fax: (864) 888-4345

The provider's authorized official is Matthew G Hedtke .
The authorized official title is Executive Director and has the following contact phone number (864) 885-7673.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 2/5/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	261QR1300X	SOUTH CAROLINA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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