# FAMILY DIAGNOSTIC ASSOCIATES, P.A.

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

## Provider details

- **NPI number:** 1619124294
- **Authorized official:** MANDY BROWN (OFFICE MANAGER)
- **Authorized official phone:** (803) 496-7174

## Contact information

- **Practice address:** 922 HOLLY ST., HOLLY HILL, SC 29059-0488
- **Practice address phone:** (803) 496-7174
- **Practice address fax:** (803) 496-7928
- **Mailing address:** PO BOX 488, 922 HOLLY ST., HOLLY HILL, SC 29059-0488
- **Mailing address phone:** (803) 496-7174
- **Mailing address fax:** (803) 496-7928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | SC | Yes |

## Other

- **Enumeration date:** 08/26/2008
- **Last updated:** 08/26/2008