| Edisto Regional Health Services | |
|
215 Dorange Rd Branchville SC 29432-2241 | |
| (803) 274-8400 | |
| (803) 274-8817 |
| Full Name | Edisto Regional Health Services |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Dorange Rd, Branchville, South Carolina |
| Authorized Official Name and Position | Thomas Dandridge (PRESIDENT) |
| Authorized Official Contact | 8033952200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edisto Regional Health Services Po Box 1245 Orangeburg SC 29116-1245 Ph: (803) 395-4499 | Edisto Regional Health Services 215 Dorange Rd Branchville SC 29432-2241 Ph: (803) 274-8400 |
| NPI Number | 1578623708 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 05/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578623708 | NPI | - | NPPES |
| GP4574 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7265 (South Carolina) | Primary |
Musc Community Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Dorange Rd, Branchville, SC 29432 Phone: 843-792-1414 | |
Rmc Primary Care Branchville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Dorange Rd, Branchville, SC 29432 Phone: 803-274-8400 Fax: 803-274-8817 |