Provider Demographics
NPI:1093952731
Name:SYNERGY MEDICAL, LLC
Entity Type:Organization
Organization Name:SYNERGY MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-457-2222
Mailing Address - Street 1:110 N RANDOLPH AVE
Mailing Address - Street 2:
Mailing Address - City:LANDRUM
Mailing Address - State:SC
Mailing Address - Zip Code:29356-1512
Mailing Address - Country:US
Mailing Address - Phone:864-457-2222
Mailing Address - Fax:864-457-2269
Practice Address - Street 1:110 N RANDOLPH AVE
Practice Address - Street 2:
Practice Address - City:LANDRUM
Practice Address - State:SC
Practice Address - Zip Code:29356-1512
Practice Address - Country:US
Practice Address - Phone:864-457-2222
Practice Address - Fax:864-457-2269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1093952731OtherBLUE CROSS & BLUE SHIELD OF SC
SCDE3416Medicaid
SC6649920001Medicare PIN