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Organization
KERSHAW HOSPITAL LLC
Active
Organization
KERSHAW HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 432-4311
(803) 713-6384
Mailing address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 432-4311
(803) 713-6384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
207RX0202X
Medical Oncology Physician
—
—
363L00000X
Nurse Practitioner
—
SC
Other
Enumeration date
07/23/2015
Last updated
04/25/2022
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