BURNT CHURCH PRIMARY AND URGENT CARE LLC NPI 1194829218

NPI Information

BURNT CHURCH PRIMARY AND URGENT CARE, LLC is an adolescent medicine family medicine in Bluffton, SC. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. BURNT CHURCH PRIMARY AND URGENT CARE, LLC NPI is 1194829218. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is South Carolina Health Services.

The provider's business location address is:

1 BURNT CHURCH RD
BLUFFTON, SC
ZIP 29910-405
Phone: (843) 757-9229

The provider's authorized official is Wesley O. James .
The authorized official title is Regional Cfo, Tenet and has the following contact phone number (404) 265-5009.

The CLIA number assigned to this NPI record is 42D2227547 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 6/23/2016.

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:

Other Identifiers

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

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