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BLEDSOE FAMILY MEDICINE LLC NPI 1356672927


NPI Information

NPI: 1356672927
Provider Name: BLEDSOE FAMILY MEDICINE LLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 42D2007477

Address:
669 BARR RD STE C
LEXINGTON, SC
ZIP 29072
Phone: (803) 957-8000
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BLEDSOE FAMILY MEDICINE LLC is an adult medicine family medicine in Lexington, SC. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. BLEDSOE FAMILY MEDICINE LLC NPI is 1356672927. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

669 BARR RD STE C
LEXINGTON, SC
ZIP 29072-369
Phone: (803) 957-8000
Fax: (803) 957-7004

The provider's authorized official is Horace William Bledsoe .
The authorized official title is Owner and has the following contact phone number (803) 359-0164.

The CLIA number assigned to this NPI record is 42D2007477 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2010 and was last updated on 10/15/2018.


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
1207QA0505XFamily MedicineAdult Medicine8883SOUTH CAROLINAYes

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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