Twelve Mile Creek Family Medicine

LBN: Palmetto Health
Twelve Mile Creek Family Medicine is an health care organization with primary practice located at 4711 Sunset Blvd , Lexington SC 29072-9151. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Palmetto Health can be contacted via phone (803) 356-3609, or through Coven, Darrell C via phone (803) 296-7301.

Contact Information

Primary practice address
4711 Sunset Blvd Lexington SC 29072-9151
Phone: (803) 356-3609
Fax: (803) 356-3941
Website:
Map and Directions
Authorized official contact:
Name: Coven, Darrell C
Phone: (803) 296-7301

Health care specialties

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

Profile Details

NPI number 1740446376
LBN Legal business name Palmetto Health
DBA Doing business as Twelve Mile Creek Family Medicine
Authorized official Coven, Darrell C
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 4th, 2008
Last updated Feb 11th, 2009 - about 15 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 1740446376 NPPES
South Carolina MEDICAID GP5017

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