# BLEDSOE FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356672927
- **Authorized official:** DR. HORACE WILLIAM BLEDSOE JR. M.D. (OWNER)
- **Authorized official phone:** (803) 359-0164

## Contact information

- **Practice address:** 669 BARR RD STE C, LEXINGTON, SC 29072-2369
- **Practice address phone:** (803) 957-8000
- **Practice address fax:** (803) 957-7004
- **Mailing address:** 602 E MAIN ST, SUITE C, LEXINGTON, SC 29072-3729
- **Mailing address phone:** (803) 359-0164
- **Mailing address fax:** (803) 359-0255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 8883 | SC | Yes |

## Other

- **Enumeration date:** 01/21/2010
- **Last updated:** 10/15/2018