Provider First Line Business Practice Location Address:
1101 BOWMAN ROAD
Provider Second Line Business Practice Location Address:
DEPT. OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
MT PLEASANT
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29464-3213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-552-4240
Provider Business Practice Location Address Fax Number:
843-552-4121
Provider Enumeration Date:
05/02/2008