Aka E C Medical Specialist
LBN: Executive Court Medical Specialist P.C.
Aka E C Medical Specialist is an health care organization with primary practice located at 997 Hwy 17 Business South Suite C, Surfside Beach SC 29575-6084. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty.
Executive Court Medical Specialist P.C. can be contacted via phone (843) 839-4505, or through Buchanan, Janet Faye via phone (843) 839-4505.
Contact Information
Primary practice address
997 Hwy 17 Business South Suite C
Surfside Beach SC 29575-6084
Phone: (843) 839-4505
Fax: (843) 839-2851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 15450 | South Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 15451 | South Carolina |
Profile Details
| NPI number | 1558575217 |
|---|---|
| LBN Legal business name | Executive Court Medical Specialist P.C. |
| DBA Doing business as | Aka E C Medical Specialist |
| Authorized official | Buchanan, Janet Faye |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Nov 26th, 2008 - 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 | 1558575217 | NPPES |
| South Carolina | MEDICAID | GP0772 | |
| South Carolina | Other | 1558345686 |
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