Pendleton Family Practice, Llc in Pendleton - Family Medicine
Pendleton Family Practice, Llc - NPI 1790705259
Pendleton Family Practice, Llc is a Family Medicine in Pendleton, South Carolina. Pendleton Family Practice, Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Pendleton Family Practice, Llc is 1790705259. The last update date is 2007-08-07.
Pendleton Family Practice, Llc's current location address is Po Box 547, Pendleton, South Carolina. You can contact this provider via phone number 8646467522 and fax number 8646463377. The mailing address for Pendleton Family Practice, Llc is Po Box 547, Pendleton, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pendleton Family Practice, Llc |
|---|---|
| Address | Po Box 547, Pendleton, South Carolina |
| Phone Number | 8646467522 |
| Fax Number | 8646463377 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Smith Lee Stacy |
| Credentials | M.D. |
| Telephone Number | 8646467522 |
NPI Number Detail
| NPI Number | 1790705259 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-08-07 |
Provider Mailing Address Detail
| Address | Po Box 547 |
|---|---|
| City | Pendleton |
| State | South Carolina (SC) |
| Post Code | 296700547 |
| Phone Number | 8646467522 |
| Fax Number | 8646463377 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP3375 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pendleton Family Practice, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Pendleton Family Practice, Llc has been assigned the NPI (National Provider Identifier) 1790705259. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Pendleton Family Practice, Llc's facilities are situated?
The facilities of Pendleton Family Practice, Llc are physically located at the following address: Po Box 547, Pendleton, SC, 296700547.
What is the area of specialization for Pendleton Family Practice, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pendleton Family Practice, Llc is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date was the 1790705259 assigned to Pendleton Family Practice, Llc?
The Pendleton Family Practice, Llc was issued its 1790705259 on 2006-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Pendleton Family Practice, Llc's information last updated?
The Pendleton Family Practice, Llc's information was last updated on 2007-08-07.