National Provider Identifier Database

BURNT CHURCH PRIMARY AND URGENT CARE LLC
Adolescent Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.


Contact Information

BURNT CHURCH PRIMARY AND URGENT CARE, LLC
1 BURNT CHURCH RD
BLUFFTON, SC29910-6405
Phone: 843-757-9229
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 207QA0000X

* Indicates primary specialty

NPI Profile & details for BURNT CHURCH PRIMARY AND URGENT CARE, LLC

NPI Number 1194829218
Legal business name
LBN
BURNT CHURCH PRIMARY AND URGENT CARE, LLC
Authorized official WESLEY JAMES - (REGIONAL CFO, TENET)
Entity Organization
Organization subpart No
Enumeration date 09/11/2006
Last updated 06/23/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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