Healthcare Provider Details

I. General information

NPI: 1417873845
Provider Name (Legal Business Name): SANDHILLS MEDICAL FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

994 RIDGEWAY RD
LUGOFF SC
29078-9101
US

IV. Provider business mailing address

1111 BROAD ST STE 3D
CAMDEN SC
29020-3610
US

V. Phone/Fax

Practice location:
  • Phone: 803-438-8000
  • Fax:
Mailing address:
  • Phone: 843-335-8291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: AMANDA CELESTE DUKE
Title or Position: CEO
Credential:
Phone: 843-335-8291