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FAIRVIEW FAMILY PRACTICE NPI 1083645584


NPI Information

NPI: 1083645584
Provider Name: FAIRVIEW FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D0253234

Address:
103 FAIRVIEW POINTE DR.
SIMPSONVILLE, SC
ZIP 29681
Phone: (864) 967-4982
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FAIRVIEW FAMILY PRACTICE is a family medicine in Simpsonville, 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. FAIRVIEW FAMILY PRACTICE NPI is 1083645584. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

103 FAIRVIEW POINTE DR.
SIMPSONVILLE, SC
ZIP 29681
Phone: (864) 967-4982
Fax: (864) 967-8465

The provider's authorized official is Andrea L. Mackessy .
The authorized official title is Medical Secretary and has the following contact phone number (864) 967-4982.

The CLIA number assigned to this NPI record is 42D0253234 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/5/2006 and was last updated on 8/17/2010.


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
1207Q00000XFamily MedicineYes

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: 5/5/2024

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