| Twelve Mile Creek Family Medicine | |
|
4711 Sunset Blvd Lexington SC 29072-9151 | |
| (803) 356-3609 | |
| (803) 356-3941 |
| Full Name | Twelve Mile Creek Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4711 Sunset Blvd, Lexington, South Carolina |
| Authorized Official Name and Position | James O Williams (PRESIDENT) |
| Authorized Official Contact | 8033563609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twelve Mile Creek Family Medicine 4711 Sunset Blvd Lexington SC 29072-9151 Ph: (803) 356-3609 | Twelve Mile Creek Family Medicine 4711 Sunset Blvd Lexington SC 29072-9151 Ph: (803) 356-3609 |
| NPI Number | 1003831645 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003831645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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