Gateway Medical Llc

LBN: Gateway Medical Llc
Gateway Medical Llc is an health care organization with primary practice located at 171B Monroe Ln , Lexington SC 29072-3904. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Gateway Medical Llc can be contacted via phone (803) 358-8496, or through Jeffcoat, Christina M via phone (803) 957-0500.

Contact Information

Primary practice address
171B Monroe Ln Lexington SC 29072-3904
Phone: (803) 358-8496
Fax: (866) 614-3887
Website:
Map and Directions
Authorized official contact:
Name: Jeffcoat, Christina M
Phone: (803) 957-0500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X

Profile Details

NPI number 1649647884
LBN Legal business name Gateway Medical Llc
DBA Doing business as
Authorized official Jeffcoat, Christina M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2015
Last updated Mar 15th, 2021 - about 3 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 1649647884 NPPES
South Carolina MEDICAID GP7520

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