| |
655 Laurel St Orangeburg SC 29115-4834 | |
(803) 531-6900 | |
(803) 531-6907 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 655 Laurel St, Orangeburg, South Carolina |
Authorized Official Name and Position | Sandra Stephens (DIRECTOR OF CLINICAL SERVICES) |
Authorized Official Contact | 8035316900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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655 Laurel St Orangeburg SC 29115-4834 Ph: (803) 531-6900 | 655 Laurel St Orangeburg SC 29115-4834 Ph: (803) 531-6900 |
NPI Number | 1619171972 |
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Provider Enumeration Date | 06/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1619171972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (South Carolina) | Primary |
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