Organization
KERSHAW FAMILY MEDICINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M TIMMONS JR. MD (PRESIDENT)
(803) 475-3475
Entity
Organization
Contact information
Practice address
216 E MARION ST, KERSHAW, SC 29067-1442
(803) 475-3475
(803) 475-5360
Mailing address
216 E MARION ST, KERSHAW, SC 29067-1442
(803) 475-3475
(803) 475-5360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3501
—
SC
05
—
RHC133
—
SC
Enumeration date
11/11/2005
Last updated
09/11/2025
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