Southeastern Medical Group, Llc
LBN: Southeastern Medical Group, Llc
Southeastern Medical Group, Llc is an health care organization with primary practice located at 609 South Lake Dr Ste 1, Lexington SC 29072-4119. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Southeastern Medical Group, Llc can be contacted via phone (803) 957-0770, or through Omoigui, Nowamagbe A via phone (803) 957-0770.
Contact Information
Primary practice address
609 South Lake Dr Ste 1
Lexington SC 29072-4119
Phone: (803) 957-0770
Fax: (803) 957-0909
Website:
Authorized official contact:
Name: Omoigui, Nowamagbe A Doctor of Medicine (MD)
Phone: (803) 957-0770
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 17764 | South Carolina |
Profile Details
| NPI number | 1093729386 |
|---|---|
| LBN Legal business name | Southeastern Medical Group, Llc |
| DBA Doing business as | |
| Authorized official | Omoigui, Nowamagbe A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 2006 |
| Last updated | May 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093729386 | NPPES |
| South Carolina | Other | 1386645596 | DR. OMOIGUI IND NPI # |
| South Carolina | Other | 17764 | DR. OMOIGUI IND NPI # |
| South Carolina | Other | $$$$$$$$$ | DR. OMOIGUI IND NPI # |
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