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Organization

VIPHEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUZANNE SCHWAB MD (MEDICAL DIRECTOR)
(803) 309-0685
Entity
Organization

Contact information

Practice address
117 PARK PLACE CT, LEXINGTON, SC 29072-6690
(803) 309-0685
Mailing address
117 PARK PLACE CT, LEXINGTON, SC 29072-6690
(803) 309-0685

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD18512
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699786749
MEDICARE -MEDICAL ENDOSCOPY PROFESSIONALS-GROUP NPI-1124097563, GROUPS PTAN-7538
SC
Enumeration date
02/09/2016
Last updated
02/09/2016
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