Excelsior Medical Clinic, Pa
LBN: Excelsior Medical Clinic, Pa
Excelsior Medical Clinic, Pa is an health care organization with primary practice located at 448 N Main St Excelsior Medical Clinic, Pa, Sumter SC 29150-4233. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Excelsior Medical Clinic, Pa can be contacted via phone (803) 778-2429, or through Williams, Joseph Cecil via phone (803) 778-2429.
Contact Information
Primary practice address
448 N Main St Excelsior Medical Clinic, Pa
Sumter SC 29150-4233
Phone: (803) 778-2429
Fax: (803) 773-6303
Website:
Authorized official contact:
Name: Williams, Joseph Cecil Doctor of Medicine (MD)
Phone: (803) 778-2429
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9647 | South Carolina |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 9646 | South Carolina |
Profile Details
| NPI number | 1588618144 |
|---|---|
| LBN Legal business name | Excelsior Medical Clinic, Pa |
| DBA Doing business as | |
| Authorized official | Williams, Joseph Cecil Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Oct 9th, 2007 - about 17 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 | 1588618144 | NPPES |
| South Carolina | MEDICAID | PA5850 |
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