Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EDISTO REGIONAL HEALTH SERVICES
Active
Organization
EDISTO REGIONAL HEALTH SERVICES
Active
Other names
North Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS DANDRIDGE (PRESIDENT)
(803) 395-2200
Entity
Organization
Contact information
Practice address
4631 SAVANNAH HIGHWAY, NORTH, SC 29112
(803) 395-2058
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4499
(803) 395-4480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4479
—
SC
Enumeration date
08/02/2006
Last updated
11/19/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up