Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sandhills Medical Foundation, Inc

Organization Family Medicine Physician · NPI 1912065467

Sandhills Medical Foundation, Inc provides Family Medicine Physician services in Jefferson, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

409 E Church St
Jefferson, SC 29718-8701
Phone: (843) 658-3005
Fax: (843) 658-7780
Show map & directions

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

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (SC)
Family Medicine Physician Taxonomy 207Q00000X (SC)

Record details

NPI number1912065467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernest Wardlaw — Ceo · (843) 335-8291
NPI enumeratedDecember 5, 2006
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023
Mailing addressPo Box 366, Mc Bee, SC 29101-0366