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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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