Organization
UNIFIED FAMILY HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY BURCHIT CBCS (BILLING MANAGER)
(864) 626-3374
Entity
Organization
Contact information
Practice address
1032A KINLEY RD, IRMO, SC 29063-9632
(803) 732-6635
(803) 461-0655
Mailing address
1032A KINLEY RD, IRMO, SC 29063-9632
(803) 732-6635
(803) 461-0655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2898
MEDICAL LICENSE
SC
Enumeration date
01/06/2020
Last updated
01/06/2020
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