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CEDARS MEDICAL CLINIC PA NPI 1578580395


NPI Information

NPI: 1578580395
Provider Name: CEDARS MEDICAL CLINIC PA

Doing Business As: CEDARS MEDICAL CLINIC PA

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 42D1019325

Address:
325 W LIBERTY ST
SUMTER, SC
ZIP 29150
Phone: (803) 774-7000
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CEDARS MEDICAL CLINIC PA is a public health or welfare in Sumter, SC. CEDARS MEDICAL CLINIC PA NPI is 1578580395. The provider is registered as an organization entity type.
The provider Is Doing Business As Cedars Medical Clinic Pa.

The provider's business location address is:

325 W LIBERTY ST
SUMTER, SC
ZIP 29150-139
Phone: (803) 774-7000
Fax: (803) 774-7004

The provider's authorized official is Ugochukwu N Okereke .
The authorized official title is President and has the following contact phone number (803) 774-7000.

The CLIA number assigned to this NPI record is 42D1019325 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 12/11/2012.


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
1251K00000XPublic Health or Welfare22192SOUTH CAROLINAYes

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

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