Organization
FOOTHILLS FAMILY MEDICINE OF WESTMINSTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DICKSON (BILLING MANAGER)
(864) 647-1820
Entity
Organization
Contact information
Practice address
111 W MAIN ST, WESTMINSTER, SC 29693-1668
(864) 647-1820
(864) 647-0403
Mailing address
111 W MAIN ST, WESTMINSTER, SC 29693-1668
(864) 647-1820
(864) 647-0403
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
11770
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117705
—
SC
Enumeration date
02/01/2006
Last updated
10/29/2025
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