# NEXTPHASEMD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225492168
- **Authorized official:** DR. MICHELLE SUZANNE QUAYE MD (CEO)
- **Authorized official phone:** (843) 861-2726

## Contact information

- **Practice address:** 107 W COLLEGE AVE, HARTSVILLE, SC 29550-4113
- **Practice address phone:** (843) 861-2726
- **Mailing address:** PO BOX 1763, HARTSVILLE, SC 29551-1763
- **Mailing address phone:** (843) 861-2726
- **Mailing address fax:** (843) 536-4194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 22891 | SC | Yes |

## Other

- **Enumeration date:** 04/06/2016
- **Last updated:** 04/06/2016