Organization
DUTCH FORK FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ARCHER MD (OWNER)
(803) 732-8370
Entity
Organization
Contact information
Practice address
110 DUTCHMAN BLVD., IRMO, SC 29063
(803) 732-8370
(803) 732-8373
Mailing address
110 DUTCHMAN BLVD., IRMO, SC 29063
(803) 732-8370
(803) 732-8373
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
08/07/2013
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