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NPI Code Detail

MEDICARE: KERSHAW FAMILY MEDICINE ASSOCIATES LLC

MEDICARE: KERSHAW FAMILY MEDICINE ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center
2207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437130861
Entity Type Code : Organization
Provider Name (Legal Business Name) : KERSHAW FAMILY MEDICINE ASSOCIATES LLC
Provider Business Mailing Address
First Line : 216 E MARION ST
Second Line :
City : KERSHAW
State : SC
Zip : 29067-1442
Country : US
Telephone Number : 803-475-3475
Fax Number : 803-475-5360
Provider Business Practice Location Address
First Line : 216 E MARION ST
Second Line :
City : KERSHAW
State : SC
Zip : 29067-1442
Country : US
Telephone Number : 803-475-3475
Fax Number : 803-475-5360
Authorized Official
Title or Position : PRESIDENT
Name : JAMES M TIMMONS JR.
Credential : MD
Telephone Number : 803-475-3475
Provider Enumeration Date : 11/11/2005
Last Update Date : 09/11/2025

Similar Medicare Providers

1336403807 — CARE-NET OF LANCASTER
Practice Location Address:
212 E MARION ST
KERSHAW, SC
29067-1442
Practice Phone: 803-465-3608
Practice Fax: 803-514-5740
1235111543 — BEVERLY H TIMMONS
Practice Location Address:
216 E MARION ST
KERSHAW, SC
29067-1442
Practice Phone: 803-475-3475
Practice Fax: 803-475-5360
1710968011 — JAMES M TIMMONS JR.
Practice Location Address:
216 E MARION ST
KERSHAW, SC
29067-1442
Practice Phone: 803-475-3475
Practice Fax: 803-475-5360
1487606612 — CYNTHIA A WILBERDING MD
Practice Location Address:
216 E MARION ST
KERSHAW, SC
29067-1442
Practice Phone: 803-475-3475
Practice Fax: 803-475-5360
1356559793 — SENTINEL HEALTH PARTNERS, PA
Practice Location Address:
216 E MARION ST
KERSHAW, SC
29067-1442
Practice Phone: 803-475-3475
Practice Fax: 803-475-5360
1235380254 — MS. LISA D CLYBURN NP-C
Practice Location Address:
216 E MARION ST
KERSHAW, SC
29067-1442
Practice Phone: 803-475-3350
Practice Fax: 803-475-3355

Directions to “KERSHAW FAMILY MEDICINE ASSOCIATES LLC ” Practice Location

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