Sungate Dermatology
LBN: Sungate Dermatology
Sungate Dermatology is an health care organization with primary practice located at 10 William Pope Dr Sungate Medical Center, Suite #4, Bluffton SC 29909-7549. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty.
Sungate Dermatology can be contacted via phone (843) 705-1513, or through Farr, Kenneth Daniel via phone (843) 842-2020.
Contact Information
Primary practice address
10 William Pope Dr Sungate Medical Center, Suite #4
Bluffton SC 29909-7549
Phone: (843) 705-1513
Fax: (843) 705-1514
Website:
Authorized official contact:
Name: Farr, Kenneth Daniel Doctor of Medicine (MD)
Phone: (843) 842-2020
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD31744 | South Carolina |
Profile Details
| NPI number | 1245675636 |
|---|---|
| LBN Legal business name | Sungate Dermatology |
| DBA Doing business as | |
| Authorized official | Farr, Kenneth Daniel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 30th, 2013 |
| Last updated | Apr 30th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245675636 | NPPES |
| South Carolina | Other | 6830 | MEDICARE |
| South Carolina | Other | CH3121 | MEDICARE |
| South Carolina | MEDICAID | GP2666 | MEDICARE |
| South Carolina | Other | P00764908 | MEDICARE |
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