1336112440 20TH MEDGRP-SHAW

Military/U.S. Coast Guard Outpatient Clinic/Center

Active

Basic Information

Organization Name
20TH MEDGRP-SHAW
Enumeration Date
February 9, 2006
Last Update
May 30, 2025
Authorized Official
MS. THERESA MARIE MITCHELL
AF UBO ANALYST
Phone: (703) 681-7613

Practice Location

Address
431 MEADOWLARK ST
SHAW AFB, SC 291525019
Phone
(803) 895-6526
Fax
(803) 895-6419

Mailing Address

Address
431 MEADOWLARK ST
SHAW AFB, SC 291525019
Phone
(803) 895-6526
Fax
(803) 895-6419

Specialties & Taxonomies

Specialty Code Classification License State Primary
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure
261QM1101X Clinic/Center N/A N/A No
Military/U.S. Coast Guard Pharmacy
332000000X Military/U.S. Coast Guard Pharmacy N/A N/A No
Military/U.S. Coast Guard Outpatient Clinic/Center
Military/U.S. Coast Guard Outpatient
261QM1100X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
4222903 01 SC NCPDP

Frequently Asked Questions

What is 20TH MEDGRP-SHAW's NPI number?
20TH MEDGRP-SHAW's NPI number is 1336112440.
Which doctor has NPI number 1336112440?
The doctor with NPI number 1336112440 is 20TH MEDGRP-SHAW.
What is 20TH MEDGRP-SHAW's practice address?
20TH MEDGRP-SHAW's practice address is 431 MEADOWLARK ST, SHAW AFB, SC, 291525019.
Which doctor practices at 431 MEADOWLARK ST, SHAW AFB, SC, 291525019?
20TH MEDGRP-SHAW practices at 431 MEADOWLARK ST, SHAW AFB, SC, 291525019.
What is 20TH MEDGRP-SHAW's phone number?
20TH MEDGRP-SHAW's phone number is (803) 895-6526.
Who is (803) 895-6526?
(803) 895-6526 is the phone number for 20TH MEDGRP-SHAW.
What is 20TH MEDGRP-SHAW's specialty?
20TH MEDGRP-SHAW's specialty is Military/U.S. Coast Guard Outpatient Clinic/Center.
What type of doctor is 20TH MEDGRP-SHAW?
20TH MEDGRP-SHAW is a Military/U.S. Coast Guard Outpatient Clinic/Center.
Is 20TH MEDGRP-SHAW a Military/U.S. Coast Guard Outpatient?
Yes, 20TH MEDGRP-SHAW is a Military/U.S. Coast Guard Outpatient.
Is 20TH MEDGRP-SHAW still practicing?
Yes, 20TH MEDGRP-SHAW is currently practicing.
Is 20TH MEDGRP-SHAW accepting new patients?
20TH MEDGRP-SHAW may be accepting new patients. Please call their office at (803) 895-6526 to inquire about availability.
Is NPI 1336112440 still active?
Yes, NPI 1336112440 is currently active.
Where does 20TH MEDGRP-SHAW practice?
20TH MEDGRP-SHAW practices in SHAW AFB, SC.