Generations Pediatrics And Internal Medicine
LBN: Charleston Medical Associates
Generations Pediatrics And Internal Medicine is an health care organization with primary practice located at 1483 Tobias Gadson Blvd Ste 101 , Charleston SC 29407-4795. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Charleston Medical Associates can be contacted via phone (843) 405-1110, or through Kornegay, Matthew Justice via phone (843) 614-7953.
Contact Information
Primary practice address
1483 Tobias Gadson Blvd Ste 101
Charleston SC 29407-4795
Phone: (843) 405-1110
Fax:
Website:
Authorized official contact:
Name: Kornegay, Matthew Justice Doctor of Medicine (MD)
Phone: (843) 614-7953
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1376033829 |
|---|---|
| LBN Legal business name | Charleston Medical Associates |
| DBA Doing business as | Generations Pediatrics And Internal Medicine |
| Authorized official | Kornegay, Matthew Justice Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 10th, 2018 |
| Last updated | May 10th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376033829 | NPPES |
| South Carolina | MEDICAID | 311442 |
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