| Bhg Xxxix, Llc | |
|
410 University Pkwy Suite 1560 Aiken SC 29801-6810 | |
| (803) 641-6911 | |
| (803) 641-6595 |
| Full Name | Bhg Xxxix, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 410 University Pkwy, Aiken, South Carolina |
| Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Xxxix, Llc 5001 Spring Valley Rd Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Bhg Xxxix, Llc 410 University Pkwy Suite 1560 Aiken SC 29801-6810 Ph: (803) 641-6911 |
| NPI Number | 1831545201 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 03/15/2019 |
| Medicare PECOS PAC ID | 2466887963 |
|---|---|
| Medicare Enrollment ID | O20200109002769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831545201 | NPI | - | NPPES |
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