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:
Map and Directions
Authorized official contact:
Name: Liebman, David Doctor of Medicine (MD)
Phone: (864) 722-5915

Health care specialties

SpecialtyCodeLicense #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 6 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 1932695848 NPPES
South Carolina MEDICAID T30712

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