United Medical Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11629 Issued in SC

Legal business name

UNITED MEDICAL SERVICES

Practice address

3125 Ashley Phosphate Rd
Suite 114a
North Charleston, SC 29418-8417

Phone

(843) 360-8005

NPI assigned

Jul 10, 2013

Organization subpart

No

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

Authorized official

Name

Jacqueline Javier

Title

President

Phone

(843) 364-8005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1851732507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 ASHLEY PHOSPHATE RD",
            "address_2": "SUITE 114A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188417",
            "telephone_number": "843-360-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 ASHLEY PHOSPHATE RD",
            "address_2": "SUITE 114A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188417",
            "telephone_number": "843-360-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "JAVIER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-364-8005"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.