Organization · Type 2 NPI
Dutch Fork Family Practice
Primary Care Clinic/Center · Irmo, SC
NPI number
1083761316
Active
Practice location
110 Dutchman Blvd.
Irmo, SC 29063
Fax (803) 732-8373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Irmo
About NPI 1083761316
Dutch Fork Family Practice's National Provider Identifier is 1083761316, issued on Jan 5, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Irmo, SC. The record was last updated on Aug 7, 2013.