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Organization

NORTHWOODS FAMILY PRACTICE, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FLOURNOY COLZEY WALKER III M.D. (DOCTOR)
(843) 553-0484
Entity
Organization

Contact information

Practice address
9313 MEDICAL PLAZA DR, SUITE 302, NORTH CHARLESTON, SC 29406-9155
(843) 553-0484
(843) 569-1556
Mailing address
9313 MEDICAL PLAZA DR, SUITE 302, NORTH CHARLESTON, SC 29406-9155
(843) 553-0484
(843) 569-1556

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8193
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP0415
SC
Enumeration date
09/25/2006
Last updated
07/10/2008
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