Marion Medical Group Pa

LBN: Marion Medical Group Pa
Marion Medical Group Pa is an health care organization with primary practice located at 1115 N Main St , Marion SC 29571-2025. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Marion Medical Group Pa can be contacted via phone (843) 423-0760, or through Tucker, Harold E via phone (843) 431-2405.

Contact Information

Primary practice address
1115 N Main St Marion SC 29571-2025
Phone: (843) 423-0760
Fax: (843) 423-8138
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Harold E
Phone: (843) 431-2405

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1396779856
LBN Legal business name Marion Medical Group Pa
DBA Doing business as
Authorized official Tucker, Harold E
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 16th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396779856 NPPES
South Carolina MEDICAID RHC075

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