Provider Demographics
NPI:1134319288
Name:FAMILIES FIRST FAMILY MEDICINE PC
Entity Type:Organization
Organization Name:FAMILIES FIRST FAMILY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:TUGGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-288-1941
Mailing Address - Street 1:11 JENKINS ST
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2412
Mailing Address - Country:US
Mailing Address - Phone:864-288-1941
Mailing Address - Fax:864-288-1946
Practice Address - Street 1:11 JENKINS ST
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2412
Practice Address - Country:US
Practice Address - Phone:864-288-1941
Practice Address - Fax:864-288-1946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24082207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP4225Medicaid
SC8272Medicare PIN