Organization
FAIRFIELD MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH A MANN (OFFICE MANAGER)
(803) 635-6461
Entity
Organization
Contact information
Practice address
880 WEST MOULTRIE ST., SUITE 200, WINNSBORO, SC 29180-1280
(803) 635-6487
(803) 635-6089
Mailing address
P.O. BOX 1218, WINNSBORO, SC 29180-1280
(803) 635-6461
(803) 635-6089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
SC
261QR1300X
Rural Health Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
423840
BLUE CROSS BLUE SHIELD
TN
05
—
PA3996
—
SC
05
—
RHC002
—
SC
Enumeration date
08/16/2006
Last updated
08/23/2022
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