NPI 1003831645

Twelve Mile Creek Family Medicine

Organisation Primary Care Clinic/Center Lexington, SC

Practice location

Address: 4711 Sunset Blvd, Lexington, SC 29072-9151
Phone: (803) 356-3609
Fax: (803) 356-3941

Authorised official

Name: James O Williams
Title: President
Phone: (803) 356-3609

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in South Carolina →

Registry record

NPI: 1003831645
Entity type: Organization
NPI issued: 13 Jul 2006
Record last updated: 15 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.