Provider Demographics
NPI:1164002937
Name:HEALTHFIRST ADVANCED MEDICAL LLC
Entity Type:Organization
Organization Name:HEALTHFIRST ADVANCED MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-360-6367
Mailing Address - Street 1:511 GRIER CT
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-5933
Mailing Address - Country:US
Mailing Address - Phone:803-360-6367
Mailing Address - Fax:
Practice Address - Street 1:511 GRIER CT
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-5933
Practice Address - Country:US
Practice Address - Phone:803-360-6367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty