Pageland Family Medicine

NPI #1992735989 in Pageland, South Carolina

Provider Information

NPI Number
1992735989
Entity Type
Organization
Organization Name
Pageland Family Medicine
Primary Specialty
Family Medicine
Enumeration Date
Jul 4, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
301 N VAN LINGLE MUNGO BLVD
ZIP Code
29728
Phone
(843) 672-6127

Authorized Official

Name
DANIEL L WIENS
Title
SENIOR VICE PRESIDENT
Phone
(704) 355-0648

Specialties & Taxonomy Codes

Specialty
Family Medicine

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