Manning Primary Care Llc

LBN: Manning Primary Care Llc
Manning Primary Care Llc is an health care organization with primary practice located at 517 Sunset Dr , Manning SC 29102-2208. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Manning Primary Care Llc can be contacted via phone (803) 435-9447, or through Mitchell, Charles Ray via phone (803) 435-9447.

Contact Information

Primary practice address
517 Sunset Dr Manning SC 29102-2208
Phone: (803) 435-9447
Fax: (803) 435-9975
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Charles Ray Doctor of Medicine (MD)
Phone: (803) 435-9447

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22923 South Carolina

Profile Details

NPI number 1881799039
LBN Legal business name Manning Primary Care Llc
DBA Doing business as
Authorized official Mitchell, Charles Ray Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Nov 30th, 2009 - about 17 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 1881799039 NPPES
South Carolina MEDICAID T71482

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