Stefan Montgomery Md Family & Sports Medicine, Pa
LBN: Stefan Montgomery Md Family & Sports Medicine, Pa
Stefan Montgomery Md Family & Sports Medicine, Pa is an health care organization with primary practice located at 2850 Pelham Ct , Orangeburg SC 29118-1400. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
Stefan Montgomery Md Family & Sports Medicine, Pa can be contacted via phone (803) 531-8500, or through Montgomery, Stefan L via phone (803) 531-8500.
Contact Information
Primary practice address
2850 Pelham Ct
Orangeburg SC 29118-1400
Phone: (803) 531-8500
Fax:
Website:
Authorized official contact:
Name: Montgomery, Stefan L Doctor of Medicine (MD)
Phone: (803) 531-8500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X |
Profile Details
| NPI number | 1083762819 |
|---|---|
| LBN Legal business name | Stefan Montgomery Md Family & Sports Medicine, Pa |
| DBA Doing business as | |
| Authorized official | Montgomery, Stefan L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Sep 8th, 2008 - about 17 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 | 1083762819 | NPPES |
| South Carolina | Other | 000000199439 | UNISON |
| South Carolina | Other | 000000199441 | UNISON |
| South Carolina | MEDICAID | DE2500 | UNISON |
| South Carolina | Other | 20059042 | UNISON |
| South Carolina | Other | 7455015 | UNISON |
| South Carolina | MEDICAID | 272779 | UNISON |
| South Carolina | Other | 7259579 | UNISON |
| South Carolina | MEDICAID | GP4594 | UNISON |
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