Active NPI
F. M. Dwight, MD, PA
- Clinical Medical Laboratory
- Bamberg, SC
National Provider Identifier
1770626640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 42D0248536
- Legal business name
- F. M. DWIGHT, MD, PA
- Practice address
- 450 North St
Bamberg, SC 29003-1318 - Phone
- (803) 245-5168
- Fax
- (803) 245-6275
- NPI assigned
- Feb 14, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marion Dwight, M.D.
- Title
- Director
- Phone
- (803) 245-5168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 42D0248536 | SC | Primary |
Addresses
Primary practice location
450 North St
Bamberg, SC 29003-1318
Mailing address
450 North St
PO Box 120
Bamberg, SC 29003-1318
Phone (803) 245-5168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L00046 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Bamberg Family Practice
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Bamberg, SC
- NPI 1639212228
-
dba Bamberg Family Practice
- Family Medicine Physician
- Bamberg, SC
- NPI 1366407231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770626640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 NORTH ST",
"address_2": "PO BOX 120",
"city": "BAMBERG",
"state": "SC",
"postal_code": "290031318",
"telephone_number": "803-245-5168",
"fax_number": "803-245-6275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 NORTH ST",
"city": "BAMBERG",
"state": "SC",
"postal_code": "290031318",
"telephone_number": "803-245-5168",
"fax_number": "803-245-6275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "F. M. DWIGHT, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DWIGHT",
"authorized_official_first_name": "MARION",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "803-245-5168",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "SC",
"license": "42D0248536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L00046",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bamberg, SC
- Edisto Regional Health Services Inc. (William D Glenn IV MD)
- Edisto Regional Health Services Inc. (Bamberg Express Care)
- Ernest Gary Jeffords DMD PA
- Cameron Lee Eubanks, PHARM.D.
- F Marion Dwight MD PA
- F. Marion Dwight, MD,PA (Bamberg Family Practice)
- Five Feathers Management Group, LLC (Bamberg Medical Group)
- Charles L. Gaillard, M.D.
- Eva Gaillard, RN
- Sheryl Edgemon Gardner, RNC
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.