J & C Mobile, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

J & C MOBILE, LLC

Practice address

333 Whites Creek Rd
333 Whites Creek Road
Georgetown, SC 29440-4544

Phone

(800) 240-1642

Fax

(800) 461-4096

NPI assigned

Sep 12, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Celia Knowlin Rutledge, MASTER DEGREE

Title

Owner

Phone

(800) 240-1642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1568830149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2401",
            "address_2": "333 WHITES CREEK ROAD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294422401",
            "telephone_number": "800-240-1642",
            "fax_number": "800-461-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WHITES CREEK RD",
            "address_2": "333 WHITES CREEK ROAD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294404544",
            "telephone_number": "800-240-1642",
            "fax_number": "800-461-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & C MOBILE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "KNOWLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-240-1642",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MASTER DEGREE"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Preferred Provider Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.