DR. LINDABERRY AT CAROLINA FOREST PC NPI 1184635401

NPI Information

NPI: 1184635401
Provider Name: DR. LINDABERRY AT CAROLINA FOREST, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
108 FINNEGAN CT
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 903-9993
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DR. LINDABERRY AT CAROLINA FOREST, PC is a family medicine in Myrtle Beach, 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. DR. LINDABERRY AT CAROLINA FOREST, PC NPI is 1184635401. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

108 FINNEGAN CT
MYRTLE BEACH, SC
ZIP 29579-205
Phone: (843) 903-9993
Fax: (843) 903-3356

The provider's authorized official is Jeffrey Samuel Lindaberry .
The authorized official title is Owner and has the following contact phone number (843) 903-9993.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 11/1/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		712	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GP4245	MEDICAID	SOUTH CAROLINA
2	H543570281	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	JEFFREY S LINDABERRY DO
3	H54357	MEDICARE UPIN	SOUTH 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

NPI Synchronization or Removal

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