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Organization

FAMILY PHYSICIANS NORTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN WILLIAM THURMOND III MD (PRESIDENT)
(803) 279-1412
Entity
Organization

Contact information

Practice address
309 WEST AVE, NORTH AUGUSTA, SC 29841-3800
(803) 279-1412
(803) 279-2858
Mailing address
309 WEST AVE, NORTH AUGUSTA, SC 29841-3800
(803) 279-1412
(803) 279-2858

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12890
SC
207Q00000X
Family Medicine Physician
Primary
SC8076
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP2559
SC
Enumeration date
09/22/2006
Last updated
12/14/2007
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