| Advanced Health Diagnostics Llc | |
|
110 Fairlee Street Marion SC 29571 | |
| (843) 765-3065 | |
| (800) 656-3291 |
| Full Name | Advanced Health Diagnostics Llc |
|---|---|
| Speciality | General Practice |
| Location | 110 Fairlee Street, Marion, South Carolina |
| Authorized Official Name and Position | Yvette Aitkens (DIRECTOR) |
| Authorized Official Contact | 9736411075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Health Diagnostics Llc 408 N Main Street Marion SC 29571 Ph: (843) 765-3065 | Advanced Health Diagnostics Llc 110 Fairlee Street Marion SC 29571 Ph: (843) 765-3065 |
| NPI Number | 1417605593 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 02/19/2025 |
| Medicare PECOS PAC ID | 6103290259 |
|---|---|
| Medicare Enrollment ID | O20230313002463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417605593 | NPI | - | NPPES |
| Provider Name | Haley Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245878487 PECOS PAC ID: 9638507544 Enrollment ID: I20200306001250 |
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