SC-Seweefamily Medicine
Organization Active NPI Family Medicine Physician · Mt Pleasant, SC
NPI 1093764797 · NPPES record last updated Aug 25, 2014
Key facts
- NPI
- 1093764797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0379 (SC)
- Legal business name
- SC-SEWEEFAMILY MEDICINE
- Practice address
- 874 Whipple Rd
Suite 100
Mt Pleasant, SC 29464-8900 - Phone
- (843) 884-2133
- Fax
- (843) 849-9466
- NPI assigned
- May 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. John Allen Knepper, D.O.
- Title
- President
- Phone
- (843) 884-2133
Practitioners 2
-
John Allen Knepper, D.O.
National Provider Directory
Locations
570 Long Point Rd
Ste 250
Mt Pleasant, SC 29464
Phone (843) 881-8995
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 0379 | SC | Yes |
Addresses
Primary practice location
874 Whipple Rd
Suite 100
Mt Pleasant, SC 29464-8900
Mailing address
874 Whipple Rd
Suite 100
Mt Pleasant, SC 29464-8900
Phone (843) 884-2133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2711 | Medicaid | SC |
Other providers in Mt Pleasant, SC
- Savannah Grace Halls LP
- Sarah Saxon
- C. Barton Saylor
- Jessica Saylors
- SC Cardiovascular Associates LLC
- Kaylea Scalzitti
- Kalyn Elizabeth Schaefer
- Kathleen Schaefer
- Suzanne Schaufler
- Elizabeth Anne Scheib
All providers in Mt Pleasant, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.