| Family Physicians Group Pa | |
|
104 Pinehill Rd Orangeburg SC 29115-4543 | |
| (803) 536-5752 | |
| (803) 534-6561 |
| Full Name | Family Physicians Group Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Pinehill Rd, Orangeburg, South Carolina |
| Authorized Official Name and Position | James Y White (PRESIDENT) |
| Authorized Official Contact | 8035365752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Physicians Group Pa Po Box 1284 Orangeburg SC 29116-1284 Ph: (803) 536-4555 | Family Physicians Group Pa 104 Pinehill Rd Orangeburg SC 29115-4543 Ph: (803) 536-5752 |
| NPI Number | 1457339269 |
|---|---|
| Provider Enumeration Date | 01/03/2006 |
| Last Update Date | 07/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457339269 | NPI | - | NPPES |
| GP4804 | Medicaid | SC | |
| DD9846 | Other | SC | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3486 (South Carolina) | Primary |
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