Provider Demographics
NPI:1043296700
Name:AIKEN EMERGENCY PHYSICIANS, PA
Entity Type:Organization
Organization Name:AIKEN EMERGENCY PHYSICIANS, PA
Other - Org Name:FAMILY MEDCENTERS OF AIKEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-648-4224
Mailing Address - Street 1:216 EDGEFIELD AVE NW
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-3910
Mailing Address - Country:US
Mailing Address - Phone:803-648-4224
Mailing Address - Fax:803-641-7600
Practice Address - Street 1:216 EDGEFIELD AVE NW
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3910
Practice Address - Country:US
Practice Address - Phone:803-648-4224
Practice Address - Fax:803-641-7600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-15
Last Update Date:2023-08-15
Deactivation Date:2023-05-03
Deactivation Code:
Reactivation Date:2023-05-25
Provider Licenses
StateLicense IDTaxonomies
SC207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPA4502Medicaid
SC1785Medicare PIN