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NPI 1366779779

OrganizationActive

Alpha Medical

NPI 1366779779 · Specialist · Summerville, SC

Provider details

NPI number: 1366779779
Entity type: Organization
Primary specialty: SpecialistOther Service Providers
Parent organization: Alpha Medical
Authorized official: Laura Stone, Practice Manager
License: 23028 (SC)

Practice location

210 W 6th North St

Summerville, SC 29483-6617

Phone: (843) 832-4357

Fax: (843) 832-4986

More SC providers

Mailing address

Po Box 12999

Charleston, SC 29422-2999

Registry dates

Enumerated: 2009-11-05
Last updated: 2009-11-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alpha Medical — NPI 1366779779, Summerville, SC | NPI Central