Healthcare Provider Details

I. General information

NPI: 1124205323
Provider Name (Legal Business Name): AMERICAN CURRENT CARE P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 10/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8780 RIVERS AVENUE SUITE 200 BLDG B
NORTH CHARLESTON SC
29406
US

IV. Provider business mailing address

5080 SPECTRUM DRIVE SUITE 1200 WEST
ADDISON TX
75001-4625
US

V. Phone/Fax

Practice location:
  • Phone: 843-572-0810
  • Fax: 843-572-0817
Mailing address:
  • Phone: 800-232-3550
  • Fax: 972-387-8058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TOM FOGARTY
Title or Position: PRESIDENT
Credential: MD
Phone: 800-232-3550