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Organization
OCONEE FAMILY PRACTICE
Active
Organization
OCONEE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R HANAHAN JR. MD (PRESIDENT)
(864) 882-7225
Entity
Organization
Contact information
Practice address
12016 N RADIO STATION RD, SENECA, SC 29678-1143
(864) 882-7225
(864) 885-9192
Mailing address
12016 N RADIO STATION RD, SENECA, SC 29678-1143
(864) 882-7225
(864) 885-9192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3461
SC
207Q00000X
Family Medicine Physician
Primary
7874
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034616
—
SC
05
—
078748
—
SC
Enumeration date
11/02/2005
Last updated
10/24/2008
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