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NORTHWOODS FAMILY PRACTICE LLC. NPI 1003916396


NPI Information

NPI: 1003916396
Provider Name: NORTHWOODS FAMILY PRACTICE, LLC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9313 MEDICAL PLAZA DR
SUITE 302
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 553-0484
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NORTHWOODS FAMILY PRACTICE, LLC. is a family medicine in North Charleston, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTHWOODS FAMILY PRACTICE, LLC. NPI is 1003916396. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9313 MEDICAL PLAZA DR
SUITE 302
NORTH CHARLESTON, SC
ZIP 29406-155
Phone: (843) 553-0484
Fax: (843) 569-1556

The provider's authorized official is Flournoy Colzey Walker .
The authorized official title is Doctor and has the following contact phone number (843) 553-0484.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine8193SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18729MEDICARE PINSOUTH CAROLINA
2GP0415MEDICAIDSOUTH CAROLINA
3D17886MEDICARE UPINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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