Ucfa Physicians Network Group of South Carolina

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UCFA PHYSICIANS NETWORK GROUP OF SOUTH CAROLINA

Practice address

2 Corpus Christie PL
Hilton Head, SC 29928-1700

Phone

(423) 271-9911

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Theo Stephens

Title

Acting Chief

Phone

(423) 271-9911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1336816354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 CROSS PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234713",
            "telephone_number": "423-271-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPUS CHRISTIE PL",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299281700",
            "telephone_number": "423-271-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCFA PHYSICIANS NETWORK GROUP OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "THEO",
        "authorized_official_title_or_position": "ACTING CHIEF",
        "authorized_official_telephone_number": "423-271-9911"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.