Provider Demographics
NPI:1871826743
Name:AMBULATORY MEDICINE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:AMBULATORY MEDICINE ASSOCIATES, LLC
Other - Org Name:JORGE A. SABIN, MD & SALUDA LAKE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:SABIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-294-1800
Mailing Address - Street 1:PO BOX 14489
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29610-4489
Mailing Address - Country:US
Mailing Address - Phone:864-294-1800
Mailing Address - Fax:864-246-3251
Practice Address - Street 1:532 SULPHUR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29617-6206
Practice Address - Country:US
Practice Address - Phone:864-294-1800
Practice Address - Fax:864-246-3251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD-26686261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care