Provider Demographics
NPI:1962754234
Name:QUALITY HEALTH PARTNERS, LLC
Entity type:Organization
Organization Name:QUALITY HEALTH PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:F
Authorized Official - Last Name:RHOADES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-747-4194
Mailing Address - Street 1:5110 WOODSIDE EXECUTIVE CT
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-3814
Mailing Address - Country:US
Mailing Address - Phone:803-226-0739
Mailing Address - Fax:803-226-0742
Practice Address - Street 1:5110 WOODSIDE EXECUTIVE CT
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-3814
Practice Address - Country:US
Practice Address - Phone:803-226-0739
Practice Address - Fax:803-226-0742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29351207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP6157Medicaid