Jag Medical Services Llc

LBN: Jag Medical Services Llc
Jag Medical Services Llc is an health care organization with primary practice located at 105 S Cedar St Ste G , Summerville SC 29483-6078. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jag Medical Services Llc can be contacted via phone (619) 933-5382, or through Guichard, Jared via phone (619) 933-5382.

Contact Information

Primary practice address
105 S Cedar St Ste G Summerville SC 29483-6078
Phone: (619) 933-5382
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guichard, Jared Doctor of Medicine (MD)
Phone: (619) 933-5382

Health care specialties

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

Profile Details

NPI number 1952945636
LBN Legal business name Jag Medical Services Llc
DBA Doing business as
Authorized official Guichard, Jared Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2019
Last updated Jan 2nd, 2020 - about 5 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 1952945636 NPPES
South Carolina MEDICAID 1669734760

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