Carolina Developmental Clinic, Llc

LBN: Carolina Developmental Clinic, Llc
Carolina Developmental Clinic, Llc is an health care organization with primary practice located at 107 Vista Oaks Dr Ste C , Lexington SC 29072-8230. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Carolina Developmental Clinic, Llc can be contacted via phone (803) 957-5856, or through Brigman, Shelly Deanne via phone (803) 957-5856.

Contact Information

Primary practice address
107 Vista Oaks Dr Ste C Lexington SC 29072-8230
Phone: (803) 957-5856
Fax: (803) 957-5856
Website:
Map and Directions
Authorized official contact:
Name: Brigman, Shelly Deanne Doctor of Medicine (MD)
Phone: (803) 957-5856

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 23497 South Carolina

Profile Details

NPI number 1225346737
LBN Legal business name Carolina Developmental Clinic, Llc
DBA Doing business as
Authorized official Brigman, Shelly Deanne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2010
Last updated Sep 17th, 2010 - about 14 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 1225346737 NPPES
South Carolina MEDICAID 234972

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