Healthcare Provider Details

I. General information

NPI: 1306273750
Provider Name (Legal Business Name): MD-FIRST HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 HWY 9 BYPASS WEST
LANCASTER SC
29720-1709
US

IV. Provider business mailing address

1130 HWY 9 BYPASS W
LANCASTER SC
29720-1709
US

V. Phone/Fax

Practice location:
  • Phone: 704-491-1102
  • Fax:
Mailing address:
  • Phone: 803-283-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number29114
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AMRENDRA KUMAR
Title or Position: DIRECTOR
Credential: MD
Phone: 704-491-1102