Acs Primary Care Physicians - Southeast Pc

LBN: Acs Primary Care Physicians - Southeast Pc
Acs Primary Care Physicians - Southeast Pc is an health care organization with primary practice located at 809 82Nd Pkwy , Myrtle Beach SC 29572-4607. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Acs Primary Care Physicians - Southeast Pc can be contacted via phone (843) 692-1000, or through Dabbs, Randal L. via phone (865) 293-5210.

Contact Information

Primary practice address
809 82Nd Pkwy Myrtle Beach SC 29572-4607
Phone: (843) 692-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dabbs, Randal L. Doctor of Medicine (MD)
Phone: (865) 293-5210

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1861430555
LBN Legal business name Acs Primary Care Physicians - Southeast Pc
DBA Doing business as
Authorized official Dabbs, Randal L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Sep 16th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861430555 NPPES
Georgia MEDICAID 300041934A
Georgia Other DC4477
Georgia Other DO7575

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