| Edisto Regional Health Services | |
|
4631 Savannah Highway North SC 29112 | |
| (803) 395-2058 | |
| Not Available |
| Full Name | Edisto Regional Health Services |
|---|---|
| Speciality | Family Medicine |
| Location | 4631 Savannah Highway, North, 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 4631 Savannah Highway North SC 29112 Ph: (803) 395-2058 |
| NPI Number | 1548277627 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 11/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548277627 | NPI | - | NPPES |
| GP4479 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Singleton Health Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Boltin Ave, North, SC 29112 Phone: 803-247-3900 Fax: 803-247-3930 | |
Edisto Regional Health Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4631 Savannah Highway, North, SC 29112 Phone: 803-247-2428 Fax: 803-247-2650 |