Organization Active NPI

Physicians Healthcare of Mullins

  • Legal Medicine
  • Mullins, SC
National Provider Identifier
1720146848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
PHYSICIANS HEALTHCARE OF MULLINS
Practice address
270 S Main St
Mullins, SC 29574-3120
Phone
(843) 464-8700
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sandra F. Branch
Title
Insurance Clerk
Phone
(843) 464-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

270 S Main St
Mullins, SC 29574-3120

Mailing address

270 S Main St
P.O. Box 330
Mullins, SC 29574-3120
Phone (843) 464-8700

Other identifiers 1

IdentifierTypeStateIssuer
GP4335MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720146848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 S MAIN ST",
            "address_2": "P.O. BOX 330",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743120",
            "telephone_number": "843-464-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743120",
            "telephone_number": "843-464-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTHCARE OF MULLINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "843-464-8700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4335",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.