MEDICARE: ALPHA MEGA WORKS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency		SC

General Provider Information

NPI Number	:	1154584282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA MEGA WORKS, INC

Provider Business Mailing Address
First Line	:	328 RICHMOND FARM CIR
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-7339
Country	:	US
Telephone Number	:	803-315-8351
Fax Number	:	803-520-6217

Provider Business Practice Location Address
First Line	:	328 RICHMOND FARM CIR
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-7339
Country	:	US
Telephone Number	:	803-315-8351
Fax Number	:	803-520-6217

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. TYSHA S HOLMES
Credential	:
Telephone Number	:	803-315-8351

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	07/09/2008

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