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Contact Information

PREMISE HEALTH OF SOUTH CAROLINA MEDICAL PC
448 NOVELTY AVENUE
HARTSVILLE, SC29550
 Phone: 843-383-3233
 Fax: 843-383-3265
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for PREMISE HEALTH OF SOUTH CAROLINA MEDICAL PC · (Female)

NPI Number 1295034320
Status Active
Credentials
Entity Individual
Enumeration date 03/15/2011
Last updated 02/10/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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