Provider First Line Business Practice Location Address:
1175 COOK RD STE 230
Provider Second Line Business Practice Location Address:
RMC PALMETTO SURGICAL GROUP/MEDICAL ARTS CENTER
Provider Business Practice Location Address City Name:
ORANGEBURG
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29118-8201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-395-3900
Provider Business Practice Location Address Fax Number:
803-395-3920
Provider Enumeration Date:
11/22/2013