Pageland Family Medicine

LBN: Pageland Family Medicine
Pageland Family Medicine is an health care organization with primary practice located at 301 N Van Lingle Mungo Blvd , Pageland SC 29728. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pageland Family Medicine can be contacted via phone (843) 672-6127, or through Wiens, Daniel L via phone (704) 355-0648.

Contact Information

Primary practice address
301 N Van Lingle Mungo Blvd Pageland SC 29728
Phone: (843) 672-6127
Fax: (843) 672-5748
Website:
Map and Directions
Authorized official contact:
Name: Wiens, Daniel L
Phone: (704) 355-0648

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1992735989
LBN Legal business name Pageland Family Medicine
DBA Doing business as
Authorized official Wiens, Daniel L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992735989 NPPES
South Carolina MEDICAID GP1123

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