Organization
AIKEN INTERNAL MED PA
Active
Organization
AIKEN INTERNAL MED PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE M MEYER MD (DOCTOR INTERNAL MEDICINE)
(803) 648-7888
Entity
Organization
Contact information
Practice address
410 UNIVERSITY PKWY STE 2500, AIKEN, SC 29801-6830
(803) 648-7888
(803) 648-3302
Mailing address
PO BOX 215, AIKEN, SC 29802-0215
(803) 648-7888
(803) 648-3302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE6178
RAILROAD MEDICARE
SC
05
—
PA2158
—
SC
Enumeration date
11/01/2006
Last updated
09/29/2010
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