NPI 1871827790

Emmaus Med/Surg Clinic

Organisation General Practice Physician Lexington, SC

Practice location

Address: 602 E Main St Suite C, Lexington, SC 29072-3729
Phone: (803) 359-0164
Fax: (803) 359-0255

Authorised official

Name: Bert B Oubre
Title: Owner
Phone: (803) 359-0164

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 30244 (SC)

Other General Practice providers in South Carolina →

Registry record

NPI: 1871827790
Entity type: Organization
NPI issued: 24 Sep 2009
Record last updated: 24 Sep 2009

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.