Dutch Fork Family Practice

LBN: Dutch Fork Family Practice
Dutch Fork Family Practice is an health care organization with primary practice located at 110 Dutchman Blvd. , Irmo SC 29063. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Dutch Fork Family Practice can be contacted via phone (803) 732-8370, or through Archer, Michelle via phone (803) 732-8370.

Contact Information

Primary practice address
110 Dutchman Blvd. Irmo SC 29063
Phone: (803) 732-8370
Fax: (803) 732-8373
Website:
Map and Directions
Authorized official contact:
Name: Archer, Michelle Doctor of Medicine (MD)
Phone: (803) 732-8370

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1083761316
LBN Legal business name Dutch Fork Family Practice
DBA Doing business as
Authorized official Archer, Michelle Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Aug 7th, 2013 - about 12 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.

Request for update

Popular Providers