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DIRECT ACCESS MD LLC NPI 1740760560


NPI Information

NPI: 1740760560
Provider Name: DIRECT ACCESS MD, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D2238211

Address:
803 N FANT ST STE 2A
ANDERSON, SC
ZIP 29621
Phone: (864) 965-9150
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DIRECT ACCESS MD, LLC is a family medicine in Anderson, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DIRECT ACCESS MD, LLC NPI is 1740760560. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

803 N FANT ST STE 2A
ANDERSON, SC
ZIP 29621-718
Phone: (864) 965-9150
Fax: (864) 965-9654

The provider's authorized official is Amy R Cianciolo .
The authorized official title is Medical Director and has the following contact phone number (864) 965-9150.

The CLIA number assigned to this NPI record is 42D2238211 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2018 and was last updated on 8/21/2018.


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 MedicineYes

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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