Organization · NPI-2

Aiken Professional Association, LLC

Internal Medicine · Aiken, SC

NPI number1639479801
StatusActive
Last updated in NPPESJun 26, 2019

Details

NPI
1639479801
Entity type
Organization (NPI-2)
Legal business name
Aiken Professional Association, LLC
Organization subpart
No
Enumeration date
Oct 22, 2010
Last updated
Jun 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine–SCYes
207Q00000X Family Medicine–SC
207RC0000X Internal Medicine, Cardiovascular Disease––
207RG0100X Internal Medicine, Gastroenterology–SC
207RI0011X Internal Medicine, Interventional Cardiology––
207V00000X Obstetrics & Gynecology––
207X00000X Orthopaedic Surgery––
208600000X Surgery–SC
208800000X Urology––
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––
363L00000X Nurse Practitioner––

Practice location

420 Society Hill Dr Ste 200
Aiken, SC 29803-1731

Phone 803-649-7266

Mailing address

367 S Gulph Rd
King Of Prussia, PA 19406-3121

Authorized official

Todd Evans
Cfo
6103824334

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