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

Summerton Family Medicine LLC

Organization Family Medicine Physician · NPI 1093707416

Summerton Family Medicine LLC is a Family Medicine Physician in Summerton, South Carolina. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

107 Main St
Summerton, SC 29148
Phone: (803) 485-2351
Fax: (803) 485-2219
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 number1093707416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Koon — Owner/Physician · (803) 485-2351
NPI enumeratedAugust 22, 2005
Last updated in NPPESMay 8, 2008
Mailing addressPo Box 10, Summerton, SC 29148-0010

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