Organization
ADVANCE MEDICAL ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BUCKENER-STUBBS LPN (LICENSED PRACTICAL NURSE)
(803) 729-6503
Entity
Organization
Contact information
Practice address
912 MITCHELL DR, CAMDEN, SC 29020-4125
(803) 729-6503
Mailing address
912 MITCHELL DR, CAMDEN, SC 29020-4125
(803) 729-6503
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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