Piedmont Family Practice At Tega Cay

LBN: Piedmont Family Practice At Tega Cay, Llc
Piedmont Family Practice At Tega Cay is an health care organization with primary practice located at 773 Stockbridge Drive , Fort Mill SC 29708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Piedmont Family Practice At Tega Cay, Llc can be contacted via phone (803) 802-2424, or through James, Wesley O. via phone (404) 265-5009.

Contact Information

Primary practice address
773 Stockbridge Drive Fort Mill SC 29708
Phone: (803) 802-2424
Fax: (803) 802-3767
Website:
Map and Directions
Authorized official contact:
Name: James, Wesley O.
Phone: (404) 265-5009

Health care specialties

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

Profile Details

NPI number 1407863343
LBN Legal business name Piedmont Family Practice At Tega Cay, Llc
DBA Doing business as Piedmont Family Practice At Tega Cay
Authorized official James, Wesley O.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2006
Last updated Jun 23rd, 2016 - about 9 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 1407863343 NPPES
South Carolina MEDICAID GP4723
South Carolina Other DO0992

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