Pine Tree Family Practice, P. A.
NPI #1174720577 in Abbeville, South Carolina
Provider Information
- NPI Number
- 1174720577
- Entity Type
- Organization
- Organization Name
- Pine Tree Family Practice, P. A.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 28, 2007
- Last Updated
- Feb 21, 2011
Practice Location
- Address
- 901 W GREENWOOD ST
- Address 2
- BUILDING 2
- City
- Abbeville
- State
- South Carolina
- ZIP Code
- 29620-5678
- Phone
- (864) 366-9611
Authorized Official
- Name
- DR. BRUCE SAMUEL JOHNSTON, M.D.
- Title
- PHYSICIAN
- Phone
- (864) 366-9611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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