# EDISTO REGIONAL HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holly Hill Diagnostic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609198613
- **Authorized official:** LISA M GOODLETT (C.O.O.)
- **Authorized official phone:** (803) 395-2462

## Contact information

- **Practice address:** 185 BUNCH FORD ROAD, HOLLY HILL, SC 29059-1640
- **Practice address phone:** (803) 395-4497
- **Mailing address:** PO BOX 1245, ORANGEBURG, SC 29116-1245
- **Mailing address phone:** (803) 395-4497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | SC | Yes |

## Other

- **Enumeration date:** 02/17/2010
- **Last updated:** 02/17/2010