Organization
HARLEYVILLE FAMILY MEDICINE
Active
Parent organization
FAMILY DIAGNOSTIC ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY DIAGNOSTIC ASSOCIATES PA
Authorized official
JAMES H WAY PHD (PRACTICE ADMINISTRATOR)
(803) 496-7174
Entity
Organization
Contact information
Practice address
146 JUDGE ST, HARLEYVILLE, SC 29448
(843) 462-7355
Mailing address
PO BOX 488, HOLLY HILL, SC 29059
(803) 496-7174
(803) 496-7928
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC142
—
SC
Enumeration date
12/06/2007
Last updated
12/06/2007
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