Baxter Internal Medicine

LBN: Piedmont Internal Medicine At Baxter Village Llc
Baxter Internal Medicine is an health care organization with primary practice located at 502 Sixth Baxter Crossing Suite A, Fort Mill SC 29708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Piedmont Internal Medicine At Baxter Village Llc can be contacted via phone (803) 802-2424, or through Richardson, J. Scott via phone (469) 893-6960.

Contact Information

Primary practice address
502 Sixth Baxter Crossing Suite A Fort Mill SC 29708
Phone: (803) 802-2424
Fax: (803) 802-3767
Website:
Map and Directions
Authorized official contact:
Name: Richardson, J. Scott
Phone: (469) 893-6960

Health care specialties

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

Profile Details

NPI number 1720092505
LBN Legal business name Piedmont Internal Medicine At Baxter Village Llc
DBA Doing business as Baxter Internal Medicine
Authorized official Richardson, J. Scott
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Sep 29th, 2010 - about 15 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 1720092505 NPPES
South Carolina MEDICAID GP4469

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