Organization
FAMILY PHYSICIANS GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES Y WHITE MD (PRESIDENT)
(803) 536-5752
Entity
Organization
Contact information
Practice address
104 PINEHILL RD, ORANGEBURG, SC 29115-4543
(803) 536-5752
(803) 534-6561
Mailing address
PO BOX 1284, ORANGEBURG, SC 29116-1284
(803) 536-4555
(803) 534-6561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3486
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD9846
MEDICARE RAILROAD
SC
05
—
GP4804
—
SC
Enumeration date
01/03/2006
Last updated
07/08/2010
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