Provider First Line Business Practice Location Address:
301 EAST JACKSON ST
Provider Second Line Business Practice Location Address:
MCLEOD MEDICAL CENTER DILLON
Provider Business Practice Location Address City Name:
DILLON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29536-1327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-774-1536
Provider Business Practice Location Address Fax Number:
843-841-3302
Provider Enumeration Date:
10/24/2006