Provider Demographics
NPI:1255989729
Name:PERFECT WORKS MEDICAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:PERFECT WORKS MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SILICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-600-4517
Mailing Address - Street 1:641 HARTLAND DR
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-2936
Mailing Address - Country:US
Mailing Address - Phone:803-600-4517
Mailing Address - Fax:
Practice Address - Street 1:641 HARTLAND DR
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-2936
Practice Address - Country:US
Practice Address - Phone:803-600-4517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics