# APEXCARE PA

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

## Provider details

- **NPI number:** 1508958216
- **Authorized official:** DR. OLAJIDE A. BALOGUN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (803) 408-0225

## Contact information

- **Practice address:** 1165 HIGHWAY 1 S, SUITE 200, LUGOFF, SC 29078-8966
- **Practice address phone:** (803) 408-0225
- **Practice address fax:** (803) 408-0729
- **Mailing address:** 1165 HIGHWAY 1 S, SUITE 200, LUGOFF, SC 29078-8966
- **Mailing address phone:** (803) 408-0225
- **Mailing address fax:** (803) 408-0729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 20381 | SC | Yes |
| 208000000X | Pediatrics Physician | 20381 | SC | — |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 03/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 203817 | — | SC |