Organization · Type 2 NPI
Summerton Primary Care
Adult Health Nurse Practitioner · Summerton, SC
NPI number
1740725100
Active
Practice location
123 Main St
Summerton, SC 29148
Fax (803) 488-0111
Mailing address
PO Box 69, 123 Main St
Summerton, SC 29148-0069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | APN174 (SC) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1740725100
Summerton Primary Care's National Provider Identifier is 1740725100, issued on Dec 21, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Summerton, SC. The record was last updated on Feb 13, 2017.