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Organization

SENECA FAMILY PRACTICE, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELE M. KIDD (OFFICE MANAGER)
(864) 882-7400
Entity
Organization

Contact information

Practice address
867 WHITWORTH CIR, SENECA, SC 29672-9435
(864) 882-7400
(864) 882-7401
Mailing address
867 WHITWORTH CIR, SENECA, SC 29672-9435
(864) 882-7400
(864) 882-7401

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18829
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP2970
SC
Enumeration date
02/24/2006
Last updated
10/12/2007
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