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NPI 1487761201 - Clinic/Center - 261QA0600X

NPI Details
NPI 1487761201
Enumeration Date 08/25/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHIRLEY WILSON SHIRLEY WILSON
Position ASSIST. ADMINISTRATOR
Phone (843) 558-5053
Fax (843) 558-1123
Practice Location
797 TUPPERWARE RD
HEMINGWAY SC, 29554, US
Phone (843) 558-5053
Fax (843) 558-1123
Business Location
P.O. BOX 1113
HEMINGWAY SC, 29554, US
Phone (843) 558-5053
Fax (843) 558-1123
Toxanomy
Taxonomy Code 261QA0600X
License State South Carolina
License Number ADC-244
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According to our database, Get Educational Resources Center NPI is 1487761201, taxonomy code is 261QA0600X and license number is ADC-244, license state is located at South Carolina. Get Educational Resources Center physically located at 797 Tupperware Rd, Hemingway SC, 29554. NPI Number 1033115704 has the healthcare provider type.

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1487761201 NPI number is provided on an as is basis without warranty of any kind. 1487761201 is maintained by the National Plan & Provider Enumeration System. The contents of Get Educational Resources Center are for informational purposes only.