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Contact Information

SC278 MEDICAL GROUP PA
1714 TICKTON HALL RD
RIDGELAND, SC29936-7719
 Phone: 843-726-2194
 Fax: 843-726-9423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SC278 MEDICAL GROUP PA

NPI # 1821158122
LBN Legal business name SC278 MEDICAL GROUP PA
Authorized official SCOTT CONDIE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/10/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 15103
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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