Organization Name: | LITCHFIELD MEDICAL CENTER PC |
NPI Number: | 1174521017 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BENJAMIN M DUFFEY (CEO/PHYSICIAN) |
Mailing Address: | 14866 Ocean Hwy Pawleys Island |
State: | SC US |
Postal Code: | 295854801 |
Phone Number: | 8432350760 |
Fax Number: | 8432353026 |
NPI Enumeration Date: | 07/13/2005 |
NPI Last Update Date: | 09/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |