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Organization

SELF REGIONAL PHYSICIAN SERVICES

Active
Parent organization
SELF REGIONAL PHYSICIAN SERVICES
Other names
The Family Healthcare Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
SELF REGIONAL PHYSICIAN SERVICES
Authorized official
JAMES PFEIFFER (PRESIDENT AND CEO)
(864) 725-4253
Entity
Organization

Contact information

Practice address
22580 HIGHWAY 76 E, SUITE 100, LAURENS, SC 29360-8439
(864) 833-5986
(864) 833-0599
Mailing address
PO BOX 30, CLINTON, SC 29325
(864) 833-5986
(864) 833-0599

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP4470
SC
Enumeration date
07/26/2006
Last updated
03/13/2014
About Stedi
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Product
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  • Eligibility checks
  • EDI platform