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Dr. John Edgar Kleckley

Family Doctor - Geriatric Medicine

244 Church St
Sumter , South Carolina 29150-4256

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Dr. John Edgar Kleckley

Family Doctor - Geriatric Medicine

244 Church St
Sumter , South Carolina 29150-4256

(803) 774-1012

Write a Review Save Call

Dr. John Edgar Kleckley

Family Doctor - Geriatric Medicine

244 Church St
Sumter , South Carolina 29150-4256

(803) 774-1012 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Geriatric Medicine

Languages spoken

  • English

Location

244 Church St Sumter , South Carolina 29150-4256

First Address

  • Dr. John Edgar Kleckley
  • 244 Church St
  • Sumter, SC
  • Zip : 29150-4256
  • Fax : (803) 774-1012
  • Phone : (803) 775-1001

Second Address

  • Dr. John Edgar Kleckley
  • 244 Church St
  • Sumter, SC
  • Zip : 29150-4256
  • Fax : (803) 774-1012
  • Phone : (803) 775-1001

Reviews

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FAQs


Where did Dr. John Edgar Kleckley attend graduate school?

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Where did Dr. John Edgar Kleckley do his residency?

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Where did Dr. John Edgar Kleckley do his fellowship?

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Is Dr. John Edgar Kleckley board certified?

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What type of doctor is Dr. John Edgar Kleckley

Family Doctor - Geriatric Medicine

In what state does Dr. John Edgar Kleckley practice in?

South Carolina

Where is Dr. John Edgar Kleckley ’s practice located?

244 Church St , Sumter, South Carolina, 29150-4256

What is Dr. John Edgar Kleckley ’s gender?

Male

Is Dr. John Edgar Kleckley a sole practitioner?

No

Is Dr. John Edgar Kleckley accepting new patients?

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What languages does Dr. John Edgar Kleckley speak?

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Does Dr. John Edgar Kleckley accept insurance?

Yes, Dr. John Edgar Kleckley accepts insurance

Does Dr. John Edgar Kleckley offers telemedicine?

Dr. John Edgar Kleckley has not indicated if he offers telemedicine

What is Dr. John Edgar Kleckley ’s professional license number?

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What is Dr. John Edgar Kleckley ’s NPI number?

1356544100

Does Dr. John Edgar Kleckley have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207QG0300X Family Doctor - Geriatric Medicine TL29749 SC

National Provider Identifier

NPI 1356544100
Provider Name Dr. John Edgar Kleckley
First Address Sumter, SC 29150-4256
Second Address Sumter, SC 29150-4256
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 08/06/2007
Last Update Date 18/06/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
297495 (05) SC
P00467100 RAILROAD MEDICARE PIN (01) SC
P00803393 RAILROAD MEDICARE ID-RSFPN (01) SC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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