Checkups Clinic Llc

LBN: Checkups Clinic Llc
Checkups Clinic Llc is an health care organization with primary practice located at 154B Waccamaw Medical Park Ct , Conway SC 29526-8965. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Checkups Clinic Llc can be contacted via phone (843) 349-0160, or through Stiles, Angela Pace via phone (843) 349-0160.

Contact Information

Primary practice address
154B Waccamaw Medical Park Ct Conway SC 29526-8965
Fax: (843) 349-0161
Website:
Authorized official contact:
Name: Stiles, Angela Pace FNP-BC

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3491 South Carolina

Profile Details

NPI number 1871853440
LBN Legal business name Checkups Clinic Llc
DBA Doing business as
Authorized official Stiles, Angela Pace FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2012
Last updated Oct 12th, 2012 - about 13 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 1871853440 NPPES
South Carolina MEDICAID GP5970

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