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NPI Code Detail

MEDICARE: REGIONAL PHYSICIAN SERVICES SOUTH CAROLINA, P.C.

MEDICARE: REGIONAL PHYSICIAN SERVICES SOUTH CAROLINA, P.C.
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1336346600
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGIONAL PHYSICIAN SERVICES SOUTH CAROLINA, P.C.
Provider Business Mailing Address
First Line : 9201 E MOUNTAIN VIEW #220
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-5172
Country : US
Telephone Number : 480-862-1700
Fax Number : 877-506-4560
Provider Business Practice Location Address
First Line : 1320 MAIN ST STE 300
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3266
Country : US
Telephone Number : 480-862-1677
Fax Number : 480-718-7643
Authorized Official
Title or Position : DIRECTOR, CREDENTIALING
Name : VICTORIA ALVAREZ
Credential :
Telephone Number : 480-862-1695
Provider Enumeration Date : 06/29/2007
Last Update Date : 12/10/2019

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Directions to “REGIONAL PHYSICIAN SERVICES SOUTH CAROLINA, P.C. ” Practice Location

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