FOCUS SC 1009 LLC NPI 1871924167

NPI Information

NPI: 1871924167
Provider Name: FOCUS SC 1009, LLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
900 BOWMAN RD
SUITE 303
MT PLEASANT, SC
ZIP 29464
Phone: (843) 593-9332
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FOCUS SC 1009, LLC is an adolescent medicine pediatrics in Mt Pleasant, SC. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. FOCUS SC 1009, LLC NPI is 1871924167. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

900 BOWMAN RD
SUITE 303
MT PLEASANT, SC
ZIP 29464
Phone: (843) 593-9332

The provider's authorized official is James C Wiley .
The authorized official title is Owner and has the following contact phone number (251) 301-8276.

The enumeration date for this NPI number is 12/11/2013 and was last updated on 4/24/2017.

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	Primary
1	207QA0000X	Family Medicine	Adolescent Medicine	No
2	208000000X	Pediatrics		No
3	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	No
4	2080A0000X	Pediatrics	Adolescent Medicine	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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