Upstate Family Medicine Llc

LBN: Upstate Family Medicine Llc
Upstate Family Medicine Llc is an health care organization with primary practice located at 1517 N Fant St , Anderson SC 29621-4707. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Upstate Family Medicine Llc can be contacted via phone (864) 226-1899, or through Nelson, Kyle via phone (864) 226-1899.

Contact Information

Primary practice address
1517 N Fant St Anderson SC 29621-4707
Phone: (864) 226-1899
Fax: (864) 226-5847
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Kyle
Phone: (864) 226-1899

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1053361758
LBN Legal business name Upstate Family Medicine Llc
DBA Doing business as
Authorized official Nelson, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Mar 14th, 2008 - about 16 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 1053361758 NPPES
South Carolina MEDICAID GP3691

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