Organization
SUMMERTON PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE S BARWICK ANP (ANP)
(803) 488-8888
Entity
Organization
Contact information
Practice address
123 MAIN ST, SUMMERTON, SC 29148
(803) 488-8888
(803) 488-0111
Mailing address
PO BOX 69, 123 MAIN ST, SUMMERTON, SC 29148-0069
(803) 488-8888
(803) 488-0111
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN174
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7622
—
SC
Enumeration date
12/21/2016
Last updated
02/13/2017
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