Lake Marion Primary Care
LBN: Lake Marion Primary Care
Lake Marion Primary Care is an health care organization with primary practice located at 15 E Hospital St , Manning SC 29102-3152. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Lake Marion Primary Care can be contacted via phone (803) 435-2529, or through Wallace, Saundra via phone (803) 435-2529.
Contact Information
Primary practice address
15 E Hospital St
Manning SC 29102-3152
Phone: (803) 435-2529
Fax: (803) 435-4196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13275 | South Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 20345 | South Carolina |
Profile Details
| NPI number | 1912964479 |
|---|---|
| LBN Legal business name | Lake Marion Primary Care |
| DBA Doing business as | |
| Authorized official | Wallace, Saundra |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912964479 | NPPES |
| South Carolina | MEDICAID | GP2178 |
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