Palmetto Health - University Of South Carolina Medical Group
Family Medicine in Sumter, SC. Organization (NPI-2).
NPI number1295211894
StatusActive
Last updated in NPPESJul 17, 2018
Details
- NPI
- 1295211894
- Entity type
- Organization (NPI-2)
- Legal business name
- Palmetto Health - University Of South Carolina Medical Group
- Organization subpart
- No
- Enumeration date
- Jul 17, 2018
- Last updated
- Jul 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | SC | Yes |
Practice location
115 N Sumter St Ste 315Sumter, SC 29150-4967
Phone 803-934-0810 · Fax 803-934-0809
Mailing address
Po Box 743904Atlanta, GA 30374-3904
Phone 803-296-7320 · Fax 803-296-7330
Authorized official
William D. Anderson III,
Chief Medical Officer
8035455005
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