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NPI Code Detail

MEDICARE: LITCHFIELD MEDICAL CENTER PC

MEDICARE: LITCHFIELD MEDICAL CENTER PC
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
1208D00000XGeneral Practice Physician18567SC

General Provider Information

NPI Number : 1174521017
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITCHFIELD MEDICAL CENTER PC
Provider Business Mailing Address
First Line : PO BOX 4860
Second Line :
City : MURRELLS INLET
State : SC
Zip : 29576-2698
Country : US
Telephone Number : 843-651-2624
Fax Number : 843-357-4940
Provider Business Practice Location Address
First Line : 14866 OCEAN HWY
Second Line :
City : PAWLEYS ISLAND
State : SC
Zip : 29585-4801
Country : US
Telephone Number : 843-235-0760
Fax Number : 843-235-3026
Authorized Official
Title or Position : CEO/PHYSICIAN
Name : BENJAMIN M DUFFEY
Credential : M.D.
Telephone Number : 843-235-0760
Provider Enumeration Date : 07/13/2005
Last Update Date : 09/21/2012

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Directions to “LITCHFIELD MEDICAL CENTER PC ” Practice Location

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