Organization · NPI-2
Due West Family Medicine
Family Medicine · Due West, SC
NPI number1811972672
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1811972672
- Entity type
- Organization (NPI-2)
- Legal business name
- Due West Family Medicine
- Organization subpart
- No
- Enumeration date
- Dec 14, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
6 College StDue West, SC 29639-9554
Phone 864-379-2345 · Fax 864-379-3228
Mailing address
Po Box 638Due West, SC 29639-0638
Phone 864-379-2345 · Fax 864-379-3228
Authorized official
Brian N Henry
Owner
8643792345
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