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Organization
GENESIS HEALTHCARE, INC.
Active
Organization
GENESIS HEALTHCARE, INC.
Active
Other names
Walterboro Family Care and Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY MEGNA (CEO)
(803) 254-3676
Entity
Organization
Contact information
Practice address
830 ROBERTSON BLVD, WALTERBORO, SC 29488-3081
(843) 781-7428
(843) 781-7429
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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