SC278 MEDICAL GROUP PA

NPI # 

Practice Address:

1714 Tickton Hall Rd

Ridgeland, SC, 29936-7719

Practice Phone:

843-726-2194

Practice Fax:

843-726-9423

License Number:

15103

License State:

SC

Taxonomy Grouping:

Allopathic & Osteopathic Physicians

Taxonomy Classification:

Family Medicine

Taxonomy Specialization:

Geriatric Medicine

Taxonomy Code:

207QG0300X

Updated by NPPES on 8/22/2020. You can view the original data set for NPI # 1821158122 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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SC278 MEDICAL GROUP PA's

CMS CPT® coding data

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SC278 MEDICAL GROUP PA's

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