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Organization
KERSHAW CLINICS LLC
Active
Organization
KERSHAW CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ESTEP (CFO)
(615) 764-3000
Entity
Organization
Contact information
Practice address
40 PINNACLE PKWY, SUITE 208, ELGIN, SC 29045-8390
(803) 424-5165
(803) 424-5174
Mailing address
1165 HIGHWAY 1 S, SUITE 300, LUGOFF, SC 29078-8966
(803) 438-0872
(803) 438-4391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
207RG0100X
Gastroenterology Physician
—
SC
207RI0200X
Infectious Disease Physician
—
SC
207RP1001X
Pulmonary Disease Physician
—
SC
208600000X
Surgery Physician
—
SC
208M00000X
Hospitalist Physician
—
SC
363L00000X
Nurse Practitioner
—
SC
363LF0000X
Family Nurse Practitioner
—
SC
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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