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Organization
CLINIC SERVICES OF SOUTH CAROLINA PC
Active
Organization
CLINIC SERVICES OF SOUTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL LEE DABBS MD (PRESIDENT)
(800) 424-3672
Entity
Organization
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-7111
Mailing address
5870 HIATUS RD, TAMARAC, FL 33321-6424
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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