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NPI Code Detail

MEDICARE: SC MIDWIFE, INC

MEDICARE: SC MIDWIFE, INC
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
1176B00000XMidwifeLMW-029SC

General Provider Information

NPI Number : 1962893727
Entity Type Code : Organization
Provider Name (Legal Business Name) : SC MIDWIFE, INC
Provider Business Mailing Address
First Line : 850 FLOYD ROAD EXT
Second Line :
City : SPARTANBURG
State : SC
Zip : 29307-1048
Country : US
Telephone Number : 864-415-3815
Fax Number :
Provider Business Practice Location Address
First Line : 850 FLOYD ROAD EXT
Second Line :
City : SPARTANBURG
State : SC
Zip : 29307-1048
Country : US
Telephone Number : 864-415-3815
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : LINDA WEAVER
Credential : LM, CPM
Telephone Number : 864-415-3815
Provider Enumeration Date : 02/13/2015
Last Update Date : 02/13/2015

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Directions to “SC MIDWIFE, INC ” Practice Location

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