Provider First Line Business Practice Location Address:
SUMMERVILLE MEDICAL CENTER
Provider Second Line Business Practice Location Address:
109 BURTON AVE. SUITE A
Provider Business Practice Location Address City Name:
SUMMERVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29285
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-991-6981
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/02/2024