Wellspring Family Medicine, Pa

LBN: Wellspring Family Medicine, Pa
Wellspring Family Medicine, Pa is an health care organization with primary practice located at 110 Atrium Way , Columbia SC 29223-6301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wellspring Family Medicine, Pa can be contacted via phone (803) 865-9655, or through Daniels, Damon via phone (803) 865-9655.

Contact Information

Primary practice address
110 Atrium Way Columbia SC 29223-6301
Phone: (803) 865-9655
Fax: (803) 865-9653
Website:
Map and Directions
Authorized official contact:
Name: Daniels, Damon Doctor of Medicine (MD)
Phone: (803) 865-9655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21823 South Carolina

Profile Details

NPI number 1871718445
LBN Legal business name Wellspring Family Medicine, Pa
DBA Doing business as
Authorized official Daniels, Damon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 30th, 2013 - about 11 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 1871718445 NPPES
South Carolina MEDICAID 218231

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