Active NPI
Lifeforte Associates, Inc.
- Infectious Disease Physician
- Camden, SC
National Provider Identifier
1265675862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- LIFEFORTE ASSOCIATES, INC.
- Practice address
- 1315 Roberts Street
Camden, SC 29020-3737 - Phone
- (803) 765-1838
- NPI assigned
- Apr 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Akinwale O. Olatosi, MBBS
- Title
- MD
- Phone
- (803) 427-3162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
1315 Roberts Street
Camden, SC 29020-3737
Mailing address
PO Box 492
Camden, SC 29021-0492
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239580800000",
"number": "1265675862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 492",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290210492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 ROBERTS STREET",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290203737",
"telephone_number": "803-765-1838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEFORTE ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-13",
"last_updated": "2009-04-13",
"status": "A",
"authorized_official_last_name": "OLATOSI",
"authorized_official_first_name": "AKINWALE",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "803-427-3162",
"authorized_official_credential": "MBBS"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.