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General NPI Number Information
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NPI Number | 1740107325
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Entity Type | Organization
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Legal Business Name | PHYSICIAN SERVICES GROUP OF SOUTH CAROLINA
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 109 BENTZ RD
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City | PIEDMONT
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State | SC
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Zip | 29673-1412
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Country | US
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Telephone | 864-845-5177
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Fax |
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Provider Business Mailing Address
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Address Line | 312 SUMMERALL DR
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City | ANDERSON
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State | SC
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Zip | 29621-3697
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | CHARITY DAWN FITZSIMMONS
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Credential | DNP, APRN, FNP-C
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Telephone | 817-914-4686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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