MANNING PRIMARY CARE LLC NPI 1881799039

NPI Information

  • NPI: 1881799039
  • Provider Name: MANNING PRIMARY CARE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 517 SUNSET DR
    MANNING, SC
    ZIP 29102
  • Phone: (803) 435-9447

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NPI Details

MANNING PRIMARY CARE LLC is a family medicine in Manning, 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. MANNING PRIMARY CARE LLC NPI is 1881799039. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

517 SUNSET DR
MANNING, SC
ZIP 29102-208
Phone: (803) 435-9447
Fax: (803) 435-9975

The provider's authorized official is Charles Ray Mitchell .
The authorized official title is Owner and has the following contact phone number (803) 435-9447.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 11/30/2009.

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 Medicine22923SOUTH CAROLINAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G18751MEDICARE UPIN
27268MEDICARE PIN
3T71482MEDICAIDSOUTH CAROLINA

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: 11/21/2025

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