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Organization
HARLEYVILLE FAMILY MEDICINE
Active
Organization
HARLEYVILLE FAMILY MEDICINE
Active
Parent organization
FAMILY DIAGNOSTIC ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY DIAGNOSTIC ASSOCIATES PA
Authorized official
JAMES H WAY PHD (PRACTICE ADMINISTRATOR)
(803) 496-7174
Entity
Organization
Contact information
Practice address
146 JUDGE ST, HARLEYVILLE, SC 29448
(843) 462-7355
Mailing address
PO BOX 488, HOLLY HILL, SC 29059
(803) 496-7174
(803) 496-7928
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC142
—
SC
Enumeration date
12/06/2007
Last updated
12/06/2007
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