Healthcare Provider Details

I. General information

NPI: 1801865167
Provider Name (Legal Business Name): JOHN J BRITTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 SOUTH PIKE WEST
SUMTER SC
29150-2664
US

IV. Provider business mailing address

370 SOUTH PIKE WEST
SUMTER SC
29150-2664
US

V. Phone/Fax

Practice location:
  • Phone: 803-774-6448
  • Fax: 803-774-8299
Mailing address:
  • Phone: 803-774-6448
  • Fax: 803-774-8299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number4658
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: