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Organization
WILLAMSBURG REGIONAL HOSPITAL
Active
Organization
WILLAMSBURG REGIONAL HOSPITAL
Active
Other names
Williamsburg Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATIE DORRELL (PRACTICE MANAGER)
(843) 355-1772
Entity
Organization
Contact information
Practice address
500 THURGOOD MARSHALL HWY STE G, KINGSTREE, SC 29556-4143
(843) 355-0180
(843) 355-1606
Mailing address
500 THURGOOD MARSHALL HWY STE G, KINGSTREE, SC 29556-4143
(843) 355-0180
(843) 355-1606
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
13042
SC
Other
Enumeration date
09/26/2012
Last updated
05/19/2021
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