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Organization

FEDERAL CORRECTIONAL INS ESTILL

Active
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Organization

FEDERAL CORRECTIONAL INS ESTILL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD REED MD (STAFF PHYSICIAN)
(803) 625-4607
Entity
Organization

Contact information

Practice address
100 PRISON ROAD, ESTILL, SC 29918-0699
(803) 625-4607
(803) 625-5603
Mailing address
PO BOX 699, 100 PRISON RD, ESTILL, SC 29918-0699
(803) 625-4607
(803) 625-5603

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—

Other

Enumeration date
11/19/2012
Last updated
11/19/2012
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