Dutch Fork Family Practice
NPI #1083761316 in Irmo, South Carolina
Provider Information
- NPI Number
- 1083761316
- Entity Type
- Organization
- Organization Name
- Dutch Fork Family Practice
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 5, 2007
- Last Updated
- Aug 7, 2013
Practice Location
- Address
- 110 DUTCHMAN BLVD.
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063
- Phone
- (803) 732-8370
Authorized Official
- Name
- MICHELLE ARCHER, MD
- Title
- OWNER
- Phone
- (803) 732-8370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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