NPI 1013669126
Advantage Integrated Medical
Practice location
- Address
- 1926 S Lake Dr, Lexington, SC 29073-8282
- Phone
- (803) 462-5440
Authorised official
- Name
- David Gooldy
- Title
- Authorized Official
- Phone
- (803) 462-5440
Registered specialties (2)
Physical Medicine & Rehabilitation Physician
Primary
Family Medicine Physician
Registry record
- NPI
- 1013669126
- Entity type
- Organization
- NPI issued
- 20 Jan 2022
- Record last updated
- 20 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.