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NPI 1639479801 · live from the CMS NPI Registry

Aiken Professional Association, LLC

Internal Medicine in Aiken, SC. National Provider Identifier 1639479801, active.

NPI record

NPI1639479801 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location420 Society Hill Dr Ste 200, Aiken, SC 29803
Practice phone803-649-7266
Mailing address367 S Gulph Rd, King Of Prussia, PA 19406
EnumeratedOctober 22, 2010
Last updatedJune 26, 2019
Authorized officialTodd Evans, Cfo

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine207Q00000X— (SC)
Internal Medicine, Cardiovascular Disease207RC0000X—
Internal Medicine, Gastroenterology207RG0100X— (SC)
Internal Medicine, Interventional Cardiology207RI0011X—
Obstetrics & Gynecology207V00000X—
Orthopaedic Surgery207X00000X—
Surgery208600000X— (SC)
Urology208800000X—
Thoracic Surgery (Cardiothoracic Vascular Surgery)208G00000X—
Nurse Practitioner363L00000X—
Internal Medicine primary207R00000X— (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.