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MARION MEDICAL GROUP PA
NPI 1396779856
Clinic/Center - Rural Health in Marion, SC

Active since July 10, 2006
1115 N MAIN ST, MARION, SC 29571(843) 423-0760(843) 423-8138 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marion Medical Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARION MEDICAL GROUP PA (NPI 1396779856) is a healthcare organization registered as a rural health in Marion, South Carolina and active in the NPI registry since July 2006. The organization lists Harold E Tucker, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1396779856
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMARION MEDICAL GROUP PA
Location Address1115 N MAIN STMarion, SC 29571-2025
Mailing Address1115 N Main StMarion, SC 29571-2025 · (843) 423-0760 · Fax (843) 423-8138
Phone(843) 423-0760
Fax(843) 423-8138
Organization SubpartNo
Authorized OfficialHarold E TuckerChief Executive Officer · (843) 431-2405
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 16, 2010
✔ NPI 1396779856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedInternal MedicineTaxonomy 207R00000X
1115 N MAIN ST, Marion, SC 29571
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Other Identifiers 3

Medicare ID-Type Unspecified423852SC
Medicare PIN5117SC
MedicaidRHC075SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL OLIVER KAMANDA MD
Internal Medicine
1115 N MAIN ST
MARION, SC 29571
Marion County (843) 423-0760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marion Medical Group PA's NPI number?

The NPI number for Marion Medical Group PA is 1396779856. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Marion Medical Group PA located?

Marion Medical Group PA is located at 1115 N Main St, Marion, SC 29571. The listed phone number is (843) 423-0760.

What is Marion Medical Group PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Marion Medical Group PA was last updated on August 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.