MEDICARE: NASON MEDICAL CENTER

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	261QU0200X	Urgent Care Clinic/Center	10590	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427118405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NASON MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 50520
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29485-0520
Country	:	US
Telephone Number	:	843-284-4911
Fax Number	:	843-284-4910

Provider Business Practice Location Address
First Line	:	1101 BOWMAN RD
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3213
Country	:	US
Telephone Number	:	843-284-4911
Fax Number	:	843-284-4910

Authorized Official
Title or Position	:	CEO
Name	:	BARRON S. NASON
Credential	:	M.D.
Telephone Number	:	843-284-4911

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	12/18/2008

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Directions to “NASON MEDICAL CENTER ” Practice Location

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