Healthcare Provider Details

I. General information

NPI: 1013901925
Provider Name (Legal Business Name): STEVEN M CULP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 W MEETING ST SUITE 200
LANCASTER SC
29720-2204
US

IV. Provider business mailing address

1025 W MEETING ST STE 200
LANCASTER SC
29720-2246
US

V. Phone/Fax

Practice location:
  • Phone: 803-285-7414
  • Fax: 803-283-4329
Mailing address:
  • Phone: 803-285-7414
  • Fax: 803-283-4329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number15011
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: