Healthcare Provider Details

I. General information

NPI: 1386178366
Provider Name (Legal Business Name): ARCIS HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2017
Last Update Date: 04/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

966 HOUSTON NORTHCUTT BLVD SUITE E
MOUNT PLEASANT SC
29464-3487
US

IV. Provider business mailing address

PO BOX 12810
BELFAST ME
04915-4019
US

V. Phone/Fax

Practice location:
  • Phone: 843-471-0375
  • Fax: 843-388-4605
Mailing address:
  • Phone: 866-528-1376
  • Fax: 843-797-3633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number StateSC

VIII. Authorized Official

Name: DON BECKER
Title or Position: CEO
Credential:
Phone: 843-797-5050