EMINENT MEDICAL SERVICES LLC NPI 1770315509

NPI Information

  • NPI: 1770315509
  • Provider Name: EMINENT MEDICAL SERVICES LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 9600 TWO NOTCH ROAD
    SUITE 5 #508
    COLUMBIA, SC
    ZIP 29223
  • Phone: (803) 291-2795

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NPI Details

EMINENT MEDICAL SERVICES LLC is a family nurse practitioner in Columbia, SC. EMINENT MEDICAL SERVICES LLC NPI is 1770315509. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9600 TWO NOTCH ROAD
SUITE 5 #508
COLUMBIA, SC
ZIP 29223
Phone: (803) 291-2795
Fax: (803) 401-5282

The provider's authorized official is Kwajaleyn Herbresha Myers .
The authorized official title is Managing Member and has the following contact phone number (803) 291-2795.

The enumeration date for this NPI number is 8/19/2024 and was last updated on 8/19/2024.

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
1363LF0000XNurse PractitionerFamilyYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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: 11/21/2025

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