FAMILY MEDICINE OF SAYEBROOK LLC NPI 1942791090

NPI Information

NPI: 1942791090
Provider Name: FAMILY MEDICINE OF SAYEBROOK, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 42D1063281

Address:
106 LANSFORD PL STE 100
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 293-8850
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FAMILY MEDICINE OF SAYEBROOK, LLC is a primary care clinic center in Myrtle Beach, SC. FAMILY MEDICINE OF SAYEBROOK, LLC NPI is 1942791090. The provider is registered as an organization entity type.

The provider's business location address is:

106 LANSFORD PL STE 100
MYRTLE BEACH, SC
ZIP 29588-979
Phone: (843) 293-8850

The provider's authorized official is Lisa Garozzo .
The authorized official title is Office Manager and has the following contact phone number (843) 293-8850.

The CLIA number assigned to this NPI record is 42D1063281 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2018 and was last updated on 5/24/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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: 11/14/2023

NPI Synchronization or Removal

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