Visac LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD 16060 Issued in SC

Legal business name

VISAC LLC

Practice address

1411 Seneca TRL
Hartsville, SC 29550

Phone

(843) 339-9867

NPI assigned

Oct 27, 2010

Last updated

Oct 27, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arthur Watson Cooler, MD

Title

Owner

Phone

(843) 339-9867

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1003116849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SENECA TRL",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "29550",
            "telephone_number": "843-339-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SENECA TRL",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "29550",
            "telephone_number": "843-339-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "COOLER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-339-9867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "MD 16060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.