Palmetto Family Practice, Llc

LBN: Palmetto Family Practice, Llc
Palmetto Family Practice, Llc is an health care organization with primary practice located at 115 N Sumter St Suite 315, Sumter SC 29150-4972. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Palmetto Family Practice, Llc can be contacted via phone (803) 934-0810, or through Fleming, John Russell via phone (803) 934-0810.

Contact Information

Primary practice address
115 N Sumter St Suite 315 Sumter SC 29150-4972
Phone: (803) 934-0810
Fax: (803) 934-0809
Website:
Map and Directions
Authorized official contact:
Name: Fleming, John Russell Doctor of Medicine (MD)
Phone: (803) 934-0810

Health care specialties

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

Profile Details

NPI number 1558340786
LBN Legal business name Palmetto Family Practice, Llc
DBA Doing business as
Authorized official Fleming, John Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2006
Last updated Apr 20th, 2008 - about 18 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 1558340786 NPPES
South Carolina MEDICAID GP3552

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