# EDISTO REGIONAL HEALTH SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285692681
- **Authorized official:** THOMAS DANDRIDGE (PRESIDENT)
- **Authorized official phone:** (803) 395-2200

## Contact information

- **Practice address:** 3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
- **Practice address phone:** (803) 395-2200
- **Mailing address:** PO BOX 1245, ORANGEBURG, SC 29116-1245
- **Mailing address phone:** (803) 395-4497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 05/26/2010