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:
Authorized official contact:
Name: Etheridge, Jon Lloyd Doctor of Chiropractic (DC)
Phone: (843) 875-2268
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790748150 | NPPES |
| South Carolina | MEDICAID | GP4385 | |
| South Carolina | Other | 2015987 | |
| South Carolina | MEDICAID | CH1243 |
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