# ADVANCED MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Langley Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174346654
- **Authorized official:** KELLIE D RAWLINS (COMPLIANCE)
- **Authorized official phone:** (678) 689-2389

## Contact information

- **Practice address:** 2820 AUGUSTA ROAD, LANGLEY, SC 29834-1860
- **Practice address phone:** (803) 593-3411
- **Practice address fax:** (803) 593-6090
- **Mailing address:** PO BOX 1860, LANGLEY, SC 29834-1860
- **Mailing address phone:** (803) 593-3411
- **Mailing address fax:** (803) 593-6090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2024
- **Last updated:** 11/04/2024