Provider Demographics
NPI:1184213316
Name:TELEMEDICINE PRACTITIONERS, LLC
Entity Type:Organization
Organization Name:TELEMEDICINE PRACTITIONERS, LLC
Other - Org Name:TELEMEDICINE PRACTITIONERS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:843-773-2289
Mailing Address - Street 1:2303 S VANCE DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6159
Mailing Address - Country:US
Mailing Address - Phone:843-773-2289
Mailing Address - Fax:
Practice Address - Street 1:2303 S VANCE DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6159
Practice Address - Country:US
Practice Address - Phone:843-601-0308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty