Beach Medical Weight Loss North Augusta Sc LLC
Clinic/Center, Primary Care in North Augusta, SC. Organization (NPI-2).
NPI number1447714993
StatusActive
Last updated in NPPESFeb 24, 2021
Details
- NPI
- 1447714993
- Entity type
- Organization (NPI-2)
- Legal business name
- Beach Medical Weight Loss North Augusta Sc LLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2019
- Certification date
- Feb 24, 2021
- Last updated
- Feb 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
220 Edgefield RdNorth Augusta, SC 29841-1941
Phone 803-426-8882 · Fax 803-426-8910
Mailing address
220 Edgefield RdNorth Augusta, SC 29841-1941
Phone 803-426-8882 · Fax 803-426-8910
Authorized official
Donald Rogers
Owner
8034268882
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