# EDISTO REGIONAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578623708
- **Authorized official:** THOMAS DANDRIDGE (PRESIDENT)
- **Authorized official phone:** (803) 395-2200

## Contact information

- **Practice address:** 215 DORANGE RD, BRANCHVILLE, SC 29432-2241
- **Practice address phone:** (803) 274-8400
- **Practice address fax:** (803) 274-8817
- **Mailing address:** PO BOX 1245, ORANGEBURG, SC 29116-1245
- **Mailing address phone:** (803) 395-4499
- **Mailing address fax:** (803) 395-4480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 7265 | SC | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 05/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP4574 | — | SC |