Organization
FAMILY MEDICINE ASSOCIATES OF ABBEVILLE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO HOLLY (OFFICE MANAGER)
(864) 388-9681
Entity
Organization
Contact information
Practice address
901 W GREENWOOD ST, SUITE 9, ABBEVILLE, SC 29620-5678
(864) 366-9681
(864) 366-5600
Mailing address
PO BOX 968, ABBEVILLE, SC 29620-0968
(864) 366-9681
(864) 366-5600
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42-3971
RURAL HEALTH CLINIC
SC
Enumeration date
11/08/2006
Last updated
05/30/2013
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