Organization · Type 2 NPI
Family Medicine
General Practice Physician · Pickens, SC
NPI number
1992980643
Active
Practice location
865 Pendleton St
Pickens, SC 29671
Fax (864) 878-5413
Mailing address
PO Box 1059
Pickens, SC 29671
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 07695 |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1992980643
Family Medicine's National Provider Identifier is 1992980643, issued on Dec 31, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Pickens, SC. The record was last updated on Dec 31, 2007.