Edisto Regional Health Services
Family Medicine in Orangeburg, SC. Organization (NPI-2).
NPI number1285641332
StatusActive
Last updated in NPPESOct 24, 2007
Details
- NPI
- 1285641332
- Entity type
- Organization (NPI-2)
- Legal business name
- Edisto Regional Health Services
- Organization subpart
- No
- Enumeration date
- Aug 2, 2006
- Last updated
- Oct 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | APN652 | SC | Yes |
Other names
- Copeland Medical Care (Doing Business As)
Practice location
2850 Pelham CtOrangeburg, SC 29118-1400
Phone 803-655-6132 · Fax 803-655-6173
Mailing address
Po Box 1245Orangeburg, SC 29116-1245
Phone 803-395-4499 · Fax 803-395-4480
Authorized official
Thomas Dandridge
President
8033952200
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