Organization Name: | F MARION DWIGHT MD PA |
NPI Number: | 1639212228 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | F MARION DWIGHT (DIRECTOR) |
Mailing Address: | 450 North St Bamberg |
State: | SC US |
Postal Code: | 290031318 |
Phone Number: | 8032455168 |
Fax Number: | 8032456275 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 02/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |