Northwoods Family Practice, LLC.
Family Medicine in North Charleston, SC. Organization (NPI-2).
NPI number1003916396
StatusActive
Last updated in NPPESJul 10, 2008
Details
- NPI
- 1003916396
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwoods Family Practice, LLC.
- Organization subpart
- No
- Enumeration date
- Sep 25, 2006
- Last updated
- Jul 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 8193 | SC | Yes |
Practice location
9313 Medical Plaza DrSuite 302
North Charleston, SC 29406-9155
Phone 843-553-0484 · Fax 843-569-1556
Mailing address
9313 Medical Plaza DrSuite 302
North Charleston, SC 29406-9155
Phone 843-553-0484 · Fax 843-569-1556
Authorized official
Flournoy Colzey Walker
Doctor
8435530484
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