# SOUTH CAROLINA INPATIENT MEDICINE ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAGLE HOSPITAL PHYSICIANS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447202536
- **Legal business name:** EAGLE HOSPITAL PHYSICIANS
- **Authorized official:** DR. TALBOT GREEN MCCORMICK III MD (PRESIDENT-CHIEF OPERATING OFFICER)
- **Authorized official phone:** (678) 441-8500

## Contact information

- **Practice address:** 200 FLEETWOOD DR, EASLEY, SC 29640-2022
- **Practice address phone:** (678) 441-8500
- **Practice address fax:** (675) 441-8656
- **Mailing address:** PO BOX 96368, OKLAHOMA CITY, OK 73143-6368
- **Mailing address phone:** (678) 441-8500
- **Mailing address fax:** (678) 441-8646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 07/12/2013
