# LAURENS COUNTY HEALTH CARE SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laurens County Anesthesia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568791895
- **Authorized official:** WILL GRANT (VP OF FISCAL AND SUPPORT SERVICES)
- **Authorized official phone:** (864) 833-3976

## Contact information

- **Practice address:** 22725 HWY 76, CLINTON, SC 29325-7527
- **Practice address phone:** (864) 833-9141
- **Practice address fax:** (864) 833-9357
- **Mailing address:** 22725 HWY 76, CLINTON, SC 29325-7527
- **Mailing address phone:** (864) 833-9141
- **Mailing address fax:** (864) 833-9357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367H00000X | Anesthesiologist Assistant | — | NULL | — |
| 367H00000X | Anesthesiologist Assistant | — | — | — |

## Other

- **Enumeration date:** 12/16/2009
- **Last updated:** 12/16/2009
