Provider First Line Business Practice Location Address:
10 E. HOSPITAL STREET
Provider Second Line Business Practice Location Address:
HOSPITALIST DEPARTMENT
Provider Business Practice Location Address City Name:
MANNING
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-435-3182
Provider Business Practice Location Address Fax Number:
803-435-5288
Provider Enumeration Date:
09/11/2007