Provider Demographics
NPI:1760472260
Name:EXIGENT, INC
Entity Type:Organization
Organization Name:EXIGENT, INC
Other - Org Name:EXIGENT WADE HAMPTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MILTON
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-292-5915
Mailing Address - Street 1:2310 WADE HAMPTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-1043
Mailing Address - Country:US
Mailing Address - Phone:864-292-5915
Mailing Address - Fax:864-244-7734
Practice Address - Street 1:2310 WADE HAMPTON BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-1043
Practice Address - Country:US
Practice Address - Phone:864-292-5915
Practice Address - Fax:864-244-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC07376261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC07376OtherSC LICENSE NUMBER
SC$$$$$$$$$OtherSOCIAL SECURITY NUMBER
SC207376OtherSC DRUG
SCAA6555289OtherDEA NUMBER
SC6085Medicare ID - Type Unspecified
SC410701229OtherSOCIAL SECURITY NUMBER