Family Practice Associates, PA Of North Augusta
Clinic/Center, Primary Care in North Augusta, SC. Organization (NPI-2).
NPI number1508048844
StatusActive
Last updated in NPPESAug 11, 2010
Details
- NPI
- 1508048844
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Practice Associates, PA Of North Augusta
- Organization subpart
- No
- Enumeration date
- Nov 28, 2007
- Last updated
- Aug 11, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 7112 | SC | Yes |
Practice location
509 W Martintown RdNorth Augusta, SC 29841-3108
Phone 803-279-4561 · Fax 803-278-5109
Mailing address
509 W Martintown RdNorth Augusta, SC 29841-3108
Phone 803-279-4561 · Fax 803-278-5109
Authorized official
Wayne R Yost
President
8032794561
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