Burgess Primary Family Practice Llc

LBN: Burgess Primary Family Practice Llc
Burgess Primary Family Practice Llc is an health care organization with primary practice located at 1211 N Main St , Marion SC 29571-2008. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Burgess Primary Family Practice Llc can be contacted via phone (843) 319-6089, or through Burgess, Kathy via phone (843) 319-6089.

Contact Information

Primary practice address
1211 N Main St Marion SC 29571-2008
Phone: (843) 319-6089
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Kathy Nurse Practitioner (NP)
Phone: (843) 319-6089

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X

Profile Details

NPI number 1518641166
LBN Legal business name Burgess Primary Family Practice Llc
DBA Doing business as
Authorized official Burgess, Kathy Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2023
Last updated Jan 3rd, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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