Organization Active NPI

Abner Creek Family Medicine, Inc.

  • Family Medicine Physician
  • Chester, SC
National Provider Identifier
1265628234
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17336 Issued in SC
Legal business name
ABNER CREEK FAMILY MEDICINE, INC.
Practice address
1 Medical Park Dr
Chester, SC 29706-9769
Phone
(803) 581-3163
Fax
(803) 385-5388
NPI assigned
Sep 24, 2007
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Daniel R Crow, M.D.NPI 1033141247
Title
Owner/President
Phone
(803) 581-3163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17336 SC Primary

Addresses

Primary practice location

1 Medical Park Dr
Chester, SC 29706-9769

Mailing address

1 Medical Park Dr
Chester, SC 29706-9769
Phone (803) 581-3163

National Provider Directory

National Provider Directory

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1265628234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297069769",
            "telephone_number": "803-581-3163",
            "fax_number": "803-385-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297069769",
            "telephone_number": "803-581-3163",
            "fax_number": "803-385-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABNER CREEK FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "803-581-3163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.