Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Granite Medical Center

Organization Family Medicine Physician · NPI 1801100409

Blue Granite Medical Center provides Family Medicine Physician services in Winnsboro, South Carolina. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

880 W Moultrie St
Winnsboro, SC 29180-2411 Not confirmed with CMS for 16 years — call before visiting
Phone: (803) 635-0288
Fax: (803) 635-0262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1801100409
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFairfield Memorial Hospital
Authorized official Anne Bass — Cfo · (803) 635-0247
NPI enumeratedAugust 6, 2010
Last updated in NPPESAugust 6, 2010
Mailing addressPo Box 620, Winnsboro, SC 29180-0620

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