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Organization
EDISTO REGIONAL HEALTH SERVICES INC.
Active
Organization
EDISTO REGIONAL HEALTH SERVICES INC.
Active
Other names
William D. Glenn IV MD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M GOODLETT (C.O.O.)
(803) 395-2462
Entity
Organization
Contact information
Practice address
5073 CAROLINA HWY, DENMARK, SC 29042-1679
(803) 245-5144
(803) 245-6277
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19072
SC
Other
Enumeration date
03/29/2010
Last updated
03/31/2010
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