Provider Demographics
NPI:1881324481
Name:APEX OSN SC LLC
Entity type:Organization
Organization Name:APEX OSN SC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:T
Authorized Official - Last Name:BENDIKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-644-2700
Mailing Address - Street 1:11650 ALPHARETTA HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-3805
Mailing Address - Country:US
Mailing Address - Phone:704-771-1811
Mailing Address - Fax:
Practice Address - Street 1:175 AMENDMENT AVE STE 101
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3042
Practice Address - Country:US
Practice Address - Phone:704-771-1811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty