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Kershaw Health

Family Medicine in Elgin, SC. Organization (NPI-2).

NPI number1528058641
StatusActive
Last updated in NPPESJun 18, 2010

Details

NPI
1528058641
Entity type
Organization (NPI-2)
Legal business name
Kershaw Health
Organization subpart
No
Enumeration date
Oct 28, 2005
Last updated
Jun 18, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Kershawhealth Primary Care At Elgin (Doing Business As)

Practice location

40 Pinnacle Parkway
Building 100 Suite 208
Elgin, SC 29045-8999

Phone 803-424-5165

Mailing address

1315 Roberts St
Camden, SC 29020-3737

Phone 803-432-4311

Authorized official

Donnie J Weeks
Ceo
8037136227

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Elgin, SC

All 7 Family Medicine Physician providers in Elgin · All 250 providers in Elgin

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