Healthcare Provider Details
I. General information
NPI: 1760472260
Provider Name (Legal Business Name): EXIGENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2310 WADE HAMPTON BLVD
GREENVILLE SC
29615-1043
US
IV. Provider business mailing address
2310 WADE HAMPTON BLVD
GREENVILLE SC
29615-1043
US
V. Phone/Fax
- Phone: 864-292-5915
- Fax: 864-244-7734
- Phone: 864-292-5915
- Fax: 864-244-7734
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | 07376 |
| License Number State | SC |
VIII. Authorized Official
Name: DR.
JAMES
MILTON
ALEXANDER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 864-292-5915