Mountain Laurel Internal Medicine
LBN: Mountain Laurel Internal Medicine
Mountain Laurel Internal Medicine is an health care organization with primary practice located at 1510 Blue Ridge Blvd Ste 105 , Seneca SC 29672-6684. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Mountain Laurel Internal Medicine can be contacted via phone (864) 722-5315, or through Liebman, David via phone (864) 722-5915.
Contact Information
Primary practice address
1510 Blue Ridge Blvd Ste 105
Seneca SC 29672-6684
Phone: (864) 722-5315
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19038 | South Carolina |
Profile Details
NPI number | 1932695848 |
---|---|
LBN Legal business name | Mountain Laurel Internal Medicine |
DBA Doing business as | |
Authorized official | Liebman, David Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 3rd, 2018 |
Last updated | Jul 3rd, 2018 - about 7 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 | 1932695848 | NPPES |
South Carolina | MEDICAID | T30712 |
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