Marion Physician Services LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MARION PHYSICIAN SERVICES LLC

Practice address

108A E Main St
Latta, SC 29565-1617

Phone

(843) 752-1234

Fax

(843) 752-1108

NPI assigned

Oct 28, 2010

Organization subpart

Yes

Parent organization

MARION PHYSICIAN SERVICES LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debbie Brewer

Title

Director

Phone

(877) 892-9813

Specialties & licenses 1

Addresses

Other names 1

• Marion Medical Group-Latta Doing business as

Part of

Marion Physician Services

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Marion Physician Services LLC

  • Family Medicine Physician
  • Mullins, SC
  • NPI 1588985857
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1154621829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "877-309-5310",
            "fax_number": "615-465-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108A E MAIN ST",
            "city": "LATTA",
            "state": "SC",
            "postal_code": "295651617",
            "telephone_number": "843-752-1234",
            "fax_number": "843-752-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION PHYSICIAN SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARION PHYSICIAN SERVICES LLC",
        "enumeration_date": "2010-10-28",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Medical Group-Latta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latta Drug Company, Inc.
• Latta Rescue Squad, Inc.
• Latta Smiles
• Sharonda Rawls Legette, FNP-C
• Anita Graves Mace, RN, BSN
• Ada B Martin, LPN
• McLeod Physician Associates II
• Modern Legacy, Inc.
• Katrina Veratte Moore, REGISTERED NURSE
• Maceo P Paige

• All providers in Latta, SC
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.