# SUMMERTON PRIMARY CARE

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

## Provider details

- **NPI number:** 1740725100
- **Authorized official:** DALE S BARWICK ANP (ANP)
- **Authorized official phone:** (803) 488-8888

## Contact information

- **Practice address:** 123 MAIN ST, SUMMERTON, SC 29148
- **Practice address phone:** (803) 488-8888
- **Practice address fax:** (803) 488-0111
- **Mailing address:** PO BOX 69, 123 MAIN ST, SUMMERTON, SC 29148-0069
- **Mailing address phone:** (803) 488-8888
- **Mailing address fax:** (803) 488-0111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | APN174 | SC | Yes |

## Other

- **Enumeration date:** 12/21/2016
- **Last updated:** 02/13/2017