Organization Active NPI

Carolina Integrative Medicine, PA

  • Family Medicine Physician
  • Clemson, SC
National Provider Identifier
1467734558
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24716 Issued in SC
Legal business name
CAROLINA INTEGRATIVE MEDICINE, PA
Practice address
1011 Tiger Blvd
Suite 300
Clemson, SC 29631-2915
Phone
(864) 324-3704
NPI assigned
Sep 14, 2011
Last updated
Sep 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dr. Aimee Duffy, M.D.
Title
President
Phone
(864) 324-3704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24716 SC Primary

Addresses

Primary practice location

1011 Tiger Blvd
Suite 300
Clemson, SC 29631-2915

Mailing address

PO Box 550
Clemson, SC 29633-0550

National Provider Directory

National Provider Directory

Locations

1011 Tiger Blvd
Ste 300
Clemson, SC 29631
Phone (864) 324-3704

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1467734558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296330550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 TIGER BLVD",
            "address_2": "SUITE 300",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312915",
            "telephone_number": "864-324-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INTEGRATIVE MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-324-3704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "24716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.