Organization
PALMETTO FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RUSSELL FLEMING JR. MD (PHYSICIAN PARTNER)
(803) 934-0810
Entity
Organization
Contact information
Practice address
115 N SUMTER ST, SUITE 315, SUMTER, SC 29150-4972
(803) 934-0810
(803) 934-0809
Mailing address
115 N SUMTER ST, SUITE 315, SUMTER, SC 29150-4972
(803) 934-0810
(803) 934-0809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3552
—
SC
Enumeration date
01/16/2006
Last updated
04/20/2008
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