Carolina Family Practice

LBN: Carolina Family Practice
Carolina Family Practice is an health care organization with primary practice located at 107 Sunset Dr , Manning SC 29102-2904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Carolina Family Practice can be contacted via phone (803) 435-4447, or through Jones, George R via phone (803) 435-4447.

Contact Information

Primary practice address
107 Sunset Dr Manning SC 29102-2904
Phone: (803) 435-4447
Fax: (803) 435-9092
Website:
Map and Directions
Authorized official contact:
Name: Jones, George R
Phone: (803) 435-4447

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 088489 South Carolina

Profile Details

NPI number 1891976619
LBN Legal business name Carolina Family Practice
DBA Doing business as
Authorized official Jones, George R
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2007
Last updated Sep 20th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891976619 NPPES
South Carolina MEDICAID GP1535

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