Primecare Family Practice Llc

LBN: Primecare Family Practice Llc
Primecare Family Practice Llc is an health care organization with primary practice located at 145 St James Ave , Goose Creek SC 29445-2923. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Primecare Family Practice Llc can be contacted via phone (843) 863-0777, or through Rojugbokan, Adebola Edward via phone (843) 863-0777.

Contact Information

Primary practice address
145 St James Ave Goose Creek SC 29445-2923
Phone: (843) 863-0777
Fax: (843) 824-6119
Website:
Map and Directions
Authorized official contact:
Name: Rojugbokan, Adebola Edward Doctor of Medicine (MD)
Phone: (843) 863-0777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21082 South Carolina

Profile Details

NPI number 1073702957
LBN Legal business name Primecare Family Practice Llc
DBA Doing business as
Authorized official Rojugbokan, Adebola Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated Apr 14th, 2008 - about 16 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 1073702957 NPPES
South Carolina MEDICAID GP3958

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