Advanced Medical Associates Of Summerville

LBN: Advanced Medical Associates Of Summerville
Advanced Medical Associates Of Summerville is an health care organization with primary practice located at 1711 N Main St , Summerville SC 29483-7807. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / General Practice, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty. Advanced Medical Associates Of Summerville can be contacted via phone (843) 875-2268, or through Etheridge, Jon Lloyd via phone (843) 875-2268.

Contact Information

Primary practice address
1711 N Main St Summerville SC 29483-7807
Phone: (843) 875-2268
Fax: (843) 875-2267
Website:
Map and Directions
Authorized official contact:
Name: Etheridge, Jon Lloyd Doctor of Chiropractic (DC)
Phone: (843) 875-2268

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1243 South Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15987 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5123 South Carolina

Profile Details

NPI number 1790748150
LBN Legal business name Advanced Medical Associates Of Summerville
DBA Doing business as
Authorized official Etheridge, Jon Lloyd Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated Mar 7th, 2023 - about last year

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 1790748150 NPPES
South Carolina MEDICAID GP4385
South Carolina Other 2015987
South Carolina MEDICAID CH1243

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