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Organization
DUE WEST FAMILY MEDICINE
Active
Organization
DUE WEST FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN N HENRY MD (OWNER)
(864) 379-2345
Entity
Organization
Contact information
Practice address
6 COLLEGE ST, DUE WEST, SC 29639-9554
(864) 379-2345
(864) 379-3228
Mailing address
PO BOX 638, DUE WEST, SC 29639-0638
(864) 379-2345
(864) 379-3228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0368
—
SC
Enumeration date
12/14/2005
Last updated
08/22/2020
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