EMMAUS MED/SURG CLINIC NPI 1871827790

NPI Information

EMMAUS MED/SURG CLINIC is a general practice in Lexington, 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 EMMAUS MED/SURG CLINIC NPI is 1871827790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

602 E MAIN ST
SUITE C
LEXINGTON, SC
ZIP 29072-729
Phone: (803) 359-0164
Fax: (803) 359-0255

The provider's authorized official is Bert B Oubre .
The authorized official title is Owner and has the following contact phone number (803) 359-0164.

The enumeration date for this NPI number is 9/24/2009 and was last updated on 9/24/2009.

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:

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