Lake Marion Primary Care in Manning - Family Medicine
Lake Marion Primary Care - NPI 1912964479
Lake Marion Primary Care is a Family Medicine in Manning, South Carolina. Lake Marion Primary Care practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lake Marion Primary Care is 1912964479. The last update date is 2020-08-22.
Lake Marion Primary Care's current location address is 15 E Hospital St, Manning, South Carolina. You can contact this provider via phone number 8034352529 and fax number 8034354196. The mailing address for Lake Marion Primary Care is 15 E Hospital St, Manning, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Marion Primary Care |
|---|---|
| Address | 15 E Hospital St, Manning, South Carolina |
| Phone Number | 8034352529 |
| Fax Number | 8034354196 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Wallace Saundra |
| Telephone Number | 8034352529 |
NPI Number Detail
| NPI Number | 1912964479 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 15 E Hospital St |
|---|---|
| City | Manning |
| State | South Carolina (SC) |
| Post Code | 291023152 |
| Phone Number | 8034352529 |
| Fax Number | 8034354196 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 13275 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP2178 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lake Marion Primary Care?
The Lake Marion Primary Care has been issued the NPI (National Provider Identifier) 1912964479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Lake Marion Primary Care located?
The Lake Marion Primary Care is located at 15 E Hospital St, Manning, SC 291023152.
What is Lake Marion Primary Care's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lake Marion Primary Care's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did Lake Marion Primary Care receive its 1912964479 assignment from the Centers for Medicare & Medicaid Services?
The Lake Marion Primary Care was assigned its 1912964479 on 2006-04-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lake Marion Primary Care, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lake Marion Primary Care, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.