Organization
SUMMERTON PRIMARY CARE
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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