Organization
AIKEN REGIONAL MEDICAL CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK TIERNEY (CFO)
(803) 641-5601
Entity
Organization
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(803) 641-5000
(803) 641-5625
Mailing address
PO BOX 405474, ATLANTA, GA 30384-5474
(803) 641-5000
(803) 641-5625
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA5515
RAIL ROAD MEDICARE
SC
05
—
DPE013
—
SC
Enumeration date
03/12/2007
Last updated
05/24/2010
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