DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: IPS OF SOUTH CAROLINA LLC

MEDICARE: IPS OF SOUTH CAROLINA LLC
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
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1225350564
Entity Type Code : Organization
Provider Name (Legal Business Name) : IPS OF SOUTH CAROLINA LLC
Provider Business Mailing Address
First Line : PO BOX 864483
Second Line :
City : ORLANDO
State : FL
Zip : 32886-0001
Country : US
Telephone Number : 941-360-1566
Fax Number : 941-358-9818
Provider Business Practice Location Address
First Line : 2536 LENGERS WAY
Second Line :
City : FORT MILL
State : SC
Zip : 29707-7126
Country : US
Telephone Number : 803-802-9500
Fax Number : 803-802-8499
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : DR. CARL R NOBACK
Credential : MD
Telephone Number : 941-360-1566
Provider Enumeration Date : 02/26/2010
Last Update Date : 02/26/2010

Similar Medicare Providers

1255319398 — PAUL J FRONAPFEL M.D.
Practice Location Address:
2536 LENGERS WAY
FORT MILL, SC
29707-7126
Practice Phone: 704-749-5800
Practice Fax: 704-626-3237
1245289750 — PATRICIA ROACH NORCOM CRNA
Practice Location Address:
2536 LENGERS WAY
FORT MILL, SC
29707-7126
Practice Phone: 704-749-5800
Practice Fax: 704-626-3237
1689863771 — CAROLINA SURGERY CENTER LLC
Practice Location Address:
2536 LENGERS WAY
FORT MILL, SC
29707-7126
Practice Phone: 803-286-1481
Practice Fax:
1467770206 — CAROLINA SURGERY CENTER LLC
Practice Location Address:
2536 LENGERS WAY
FORT MILL, SC
29707-7126
Practice Phone: 803-802-9500
Practice Fax:
1508219494 — BRYAN RENKEN M.D.
Practice Location Address:
2536 LENGERS WAY
FORT MILL, SC
29707-7126
Practice Phone: 704-749-5800
Practice Fax:
1346619764 — SHERRITA YANKAWAY
Practice Location Address:
7126 BROOK MILL CV
MEMPHIS, TN
38125-4193
Practice Phone: 901-624-3515
Practice Fax:

Directions to “IPS OF SOUTH CAROLINA LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.