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NPI Code Detail

MEDICARE: SANDHILLS MEDICAL FOUNDATION

MEDICARE: SANDHILLS MEDICAL FOUNDATION
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
1261QC1500XCommunity Health Clinic/CenterSC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24226139OTHERNCPDP

General Provider Information

NPI Number : 1538195029
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDHILLS MEDICAL FOUNDATION
Provider Business Mailing Address
First Line : 40 BALDWIN AVE
Second Line :
City : LUGOFF
State : SC
Zip : 29078-9406
Country : US
Telephone Number : 803-438-5537
Fax Number : 803-438-5546
Provider Business Practice Location Address
First Line : 40 BALDWIN AVE
Second Line :
City : LUGOFF
State : SC
Zip : 29078-9406
Country : US
Telephone Number : 803-438-5537
Fax Number : 803-438-5546
Authorized Official
Title or Position : DIRECTOR OF PHARMACY
Name : DR. ALYSSA L. NORWOOD
Credential : PHARMD
Telephone Number : 803-438-5537
Provider Enumeration Date : 06/25/2006
Last Update Date : 02/17/2015

Similar Medicare Providers

1720735939 — ASIA FELDER MA, NCC, LPC, ADC
Practice Location Address:
40 BALDWIN AVE
LUGOFF, SC
29078-9406
Practice Phone: 803-408-3262
Practice Fax:
1649280231 — PATRICE L HIGH D.O.
Practice Location Address:
40 BALDWIN AVE
LUGOFF, SC
29078-9406
Practice Phone: 803-408-3262
Practice Fax: 803-408-8895
1679631147 — DR. ALYSSA L NORWOOD PHARMD
Practice Location Address:
40 BALDWIN AVE
LUGOFF, SC
29078-9406
Practice Phone: 803-438-5537
Practice Fax: 803-438-5546
1619121290 — MR. DAVID E THOMPSON NP
Practice Location Address:
40 BALDWIN AVE
LUGOFF, SC
29078-9406
Practice Phone: 803-408-3262
Practice Fax: 803-408-8895
1518276377 — GLENDA LOIS QUICK MSW, LMSW, AADC
Practice Location Address:
40 BALDWIN AVE
LUGOFF, SC
29078-9406
Practice Phone: 803-408-3262
Practice Fax: 803-408-8895
1568714053 — THERESA ROSE ALDERSON MD
Practice Location Address:
40 BALDWIN AVE
LUGOFF, SC
29078-9406
Practice Phone: 803-408-3262
Practice Fax: 803-408-8895

Directions to “SANDHILLS MEDICAL FOUNDATION ” Practice Location

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