ADVANTAGE MEDICAL GROUP, LLC


Address: 9153 Two Notch Rd Ste C, Columbia, SC 29223-5853
Phone: 8035461170

ADVANTAGE MEDICAL GROUP, LLC (NPI# 1548692478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548692478
Entity Type Organization
Organization Name ADVANTAGE MEDICAL GROUP, LLC
Practice Address 9153 Two Notch Rd Ste C
Columbia
SC 29223-5853
Mailing Address 9153-c Two Notch Road
Columbia
SC 29223
Practice Telephone 8035461170
Mailing Telephone 8035461170
Enumeration Date 2013-08-02
Last Update Date 2013-08-02
Authorized Official Name MR. TROY D BELTON (OWNER)
Authorized Official Telephone 8035461170
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 173000000X Legal Medicine Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
DHEC 613535 01

Office Location

Street Address 9153 TWO NOTCH RD STE C
City COLUMBIA
State SC
Zip Code 29223-5853

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NPI Name Taxonomy Address Enumeration
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1750824819 Marquita Heyward Counselor 1 Winsor Cove Suite 303, Columbia, SC 29223 2016-11-22
1578015509 Carolina Family Pharmacy, LLC Pharmacy 9153 Two Notch Road, Columbia, SC 29223 2016-10-25
1225485170 Lisa Diaz Occupational Therapy Assistant 7601 Parlane Rd, Columbia, SC 29223 2016-05-20
1295199859 Sarah Ann Riley Nurse Practitioner Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 2016-04-11
1134583214 Sara Alisha Pound Behavioral Analyst 97b Winterberry Ln, Columbia, SC 29223 2016-04-05
1508227653 Lucy Elvira Vicioso-harris Counselor 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 2016-03-17
1134585243 Robin Heaton Occupational Therapy Assistant 7601 Parklane Road, Columbia, SC 29223 2016-01-05
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Taxonomy Information

Taxonomy Code 173000000X
Grouping Other Service Providers
Classification Legal Medicine

Taxonomy Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750540795 Midlands Mediation & Associates LLC Legal Medicine 5716 Weston Ave, Suite B, Columbia, SC 29203-4643 2008-06-05
1720054448 Catherine M Vanvoorn Legal Medicine 819 W. Rollins Road, Columbia, MO 65203 2006-02-23
1831538594 Angela Rose Weis Legal Medicine 303 N Keene St, Ste 102, Columbia, MO 65201 2013-06-17
1356643035 Ellicott City Primary Care Physicians, Pa Legal Medicine 10910 Little Patuxent Parkway, #200, Columbia, MD 21044 2010-12-01
1407001225 Karima Muhammad Legal Medicine 5716 Weston Ave, Suite B, Columbia, SC 29203-4643 2008-11-20
1528218849 Xinli Zhou Legal Medicine 1 Hospital Drive, Columbia, MO 65212 2008-09-23
1962591784 Peggy C Wadman Legal Medicine 7901 Farrow Rd, Columbia, SC 29203-3220 2006-10-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174903009 Lions Den Recreation Center, The Legal Medicine 4159 Dorchester Rd, Suite B, North Charleston, SC 29405-7426 2015-06-05
1245666015 R Dale Padgett Md Pa Legal Medicine 3750 I Savannah Highway, Johns Island, SC 29455-7909 2013-09-24
1750399242 James Earl Simmons Legal Medicine 1875 N Paris Ave, Port Royal, SC 29935-2029 2006-08-03
1518986637 Conway Pediatrics,pa Legal Medicine 907 Bell St, Conway, SC 29526-4113 2006-07-19
1023042306 Robert James Tretola Legal Medicine 1933 Tara Trl, Lancaster, SC 29720-8502 2006-07-10
1508814047 Joe D Hendrix Sr. Legal Medicine 1557 Carolina Ave, Orangeburg, SC 29115 2006-05-05
1922076413 Internal Medicine of Eastside Greer Legal Medicine 554 Memorial Drive Ext, Ste B, Greer, SC 29651-1155 2006-03-09
1225028806 Kimberly M Devolld Legal Medicine 2051 Charlie Hall Blvd, Charleston, SC 29414 2005-10-25
1225025158 Ralph Haygood Johns Legal Medicine 451a E Saint John St, Spartanburg, SC 29302-1623 2005-10-05
1063404945 Tracy M Timony Legal Medicine 430 S. Herlong Ave Ste 102, Rock Hill, SC 29732 2005-08-17
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Competitor

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City COLUMBIA
Zip Code 29223

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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