Provider Demographics
NPI:1750865622
Name:MERGE MEDICAL ANALYTICS
Entity Type:Organization
Organization Name:MERGE MEDICAL ANALYTICS
Other - Org Name:SLIM RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:LOVEGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-400-4060
Mailing Address - Street 1:180 WINGO WAY STE 106
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-1810
Mailing Address - Country:US
Mailing Address - Phone:843-400-4060
Mailing Address - Fax:
Practice Address - Street 1:180 WINGO WAY STE 106
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-1810
Practice Address - Country:US
Practice Address - Phone:843-400-4060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1189261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1417945171Medicaid
SC1417945171OtherHOLISTIC MEDICINE