Organization
SC278 MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DOUGLAS CONDIE MD (PRESIDENT)
(843) 757-5966
Entity
Organization
Contact information
Practice address
1714 TICKTON HALL RD, RIDGELAND, SC 29936-7719
(843) 726-2194
(843) 726-9423
Mailing address
PO BOX 3066, BLUFFTON, SC 29910-3066
(843) 757-5966
(843) 757-5996
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
15103
SC
Other
Enumeration date
12/10/2006
Last updated
08/22/2020
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