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Organization
SIMPSONVILLE FAMILY MEDICINE, PA
Active
Organization
SIMPSONVILLE FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M BATES (PRACTICE ADMINISTRATOR)
(864) 527-8600
Entity
Organization
Contact information
Practice address
1336 HIGHWAY 14, SIMPSONVILLE, SC 29681
(864) 527-8600
(864) 527-8638
Mailing address
1336 HIGHWAY 14, SIMPSONVILLE, SC 29681
(864) 527-8600
(864) 527-8638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16070
SC
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043244023
IND NPI
SC
01
—
1184662033
IND NPI
SC
05
—
160712
—
SC
05
—
182019
—
SC
01
—
1861430720
IND. NPI
SC
Enumeration date
05/23/2005
Last updated
07/08/2016
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