Provider First Line Business Practice Location Address:
HAILE AND ROBERTS STREET
Provider Second Line Business Practice Location Address:
KERSHAW MEDICAL CENTER-EMERGENCY DEPT
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-548-8322
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/15/2007