Family Medicine Associates
LBN: F.M.A., P.A.
Family Medicine Associates is an health care organization with primary practice located at 522 College Ave Suite 1, Clemson SC 29631-1443. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
F.M.A., P.A. can be contacted via phone (864) 654-7841, or through Gentry, Warren Douglas via phone (864) 654-7841.
Contact Information
Primary practice address
522 College Ave Suite 1
Clemson SC 29631-1443
Phone: (864) 654-7841
Fax: (864) 654-7641
Website:
Authorized official contact:
Name: Gentry, Warren Douglas Doctor of Medicine (MD)
Phone: (864) 654-7841
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9992 | South Carolina |
Profile Details
| NPI number | 1053426353 |
|---|---|
| LBN Legal business name | F.M.A., P.A. |
| DBA Doing business as | Family Medicine Associates |
| Authorized official | Gentry, Warren Douglas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 8th, 2012 - about 12 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 | 1053426353 | NPPES |
| South Carolina | Other | 24081 | DR. TOLBERT STATE LICENSE |
| South Carolina | Other | 9992 | DR. TOLBERT STATE LICENSE |
| South Carolina | MEDICAID | PC3475 | DR. TOLBERT STATE LICENSE |
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