Foothills Internal Medicine

LBN: Foothills Internal Medicine
Foothills Internal Medicine is an health care organization with primary practice located at 1648 Gentry Memorial Hwy , Easley SC 29640-8877. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Foothills Internal Medicine can be contacted via phone (864) 855-1331, or through Waters, Brenda via phone (864) 855-1331.

Contact Information

Primary practice address
1648 Gentry Memorial Hwy Easley SC 29640-8877
Fax: (864) 855-1602
Website:
Authorized official contact:
Name: Waters, Brenda

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1982699179
LBN Legal business name Foothills Internal Medicine
DBA Doing business as
Authorized official Waters, Brenda
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2005
Last updated Sep 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982699179 NPPES
South Carolina MEDICAID GP0069

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