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Organization
BLACK RIVER HEALTHCARE, INC.
Active
Organization
BLACK RIVER HEALTHCARE, INC.
Active
Other names
Kingstree Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA F. BROOKS (CHIEF EXECUTIVE OFFICER)
(803) 433-6790
Entity
Organization
Contact information
Practice address
500 THURGOOD MARSHALL BOULEVARD, SUITE A, KINGSTREE, SC 29556
(843) 355-1425
(843) 355-1429
Mailing address
PO BOX 578, MANNING, SC 29102-0578
(843) 355-1425
(843) 355-1429
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
999
SC
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/31/2007
Last updated
12/11/2008
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