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Organization
SUMMERVILLE PRIMARY CARE
Active
Organization
SUMMERVILLE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE MAGEE (PRACTICE MANAGER)
(843) 285-7820
Entity
Organization
Contact information
Practice address
299-A MIDLAND PARKWAY, SUMMERVILLE, SC 29485
(985) 413-9829
Mailing address
299 MIDLAND PKWY # A, SUMMERVILLE, SC 29485-8104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8823
SC
Other
Enumeration date
04/19/2013
Last updated
08/08/2014
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