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Organization
LORIS COMMUNITY HOSPITAL DISTRICT
Active
Organization
LORIS COMMUNITY HOSPITAL DISTRICT
Active
Parent organization
LORIS COMMUNITY HOSPITAL DISTRICT
Other names
DBA Southern Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
LORIS COMMUNITY HOSPITAL DISTRICT
Authorized official
CAROLYN WARD (LORIS PHYSICIAN CREDENTIALING)
(919) 880-6406
Entity
Organization
Contact information
Practice address
3418 CASEY ST, LORIS, SC 29569-2904
(843) 756-7885
(843) 756-7855
Mailing address
3418 CASEY ST, LORIS, SC 29569-2904
(843) 756-7885
(843) 756-7855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
12/10/2009
Last updated
05/20/2010
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