SC REGIONAL HEALTH SYSTEM LLC NPI 1467716787

NPI Information

  • NPI: 1467716787
  • Provider Name: SC REGIONAL HEALTH SYSTEM LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: BLACKVILLE FAMILY MEDICINE
  • Address: 22 GARDNER RD
    BLACKVILLE, SC
    ZIP 29817
  • Phone: (803) 284-2041

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NPI Details

SC REGIONAL HEALTH SYSTEM LLC is a family medicine in Blackville, 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. SC REGIONAL HEALTH SYSTEM LLC NPI is 1467716787. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Blackville Family Medicine.

The provider's business location address is:

22 GARDNER RD
BLACKVILLE, SC
ZIP 29817-126
Phone: (803) 284-2041
Fax: (803) 284-5516

The provider's authorized official is Mary T. Valliant .
The authorized official title is Ceo and has the following contact phone number (803) 541-4365.

The enumeration date for this NPI number is 7/2/2012 and was last updated on 7/2/2012.

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?

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This page was last updated on: 3/30/2025

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