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1174720577
PINE TREE FAMILY PRACTICE, P. A.
ABBEVILLE, SC
NPI
1174720577
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Entity Type
Organization
Authorized Contact
BRUCE SAMUEL JOHNSTON
Physician
864-366-9611
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 8390)
Enumeration Date
2007-06-28
Last Update Date
2011-02-21
Business Address
PINE TREE FAMILY PRACTICE, P. A.
901 W GREENWOOD ST BUILDING 2
ABBEVILLE, SC 29620-5678
Phone number: 864-366-9611
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Mailing Address
PINE TREE FAMILY PRACTICE, P. A.
PO BOX 1126
ABBEVILLE, SC 29620-1126
Phone number: 864-366-9611
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