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Organization
LORIS PHYSICIAN SERVICES
Active
Organization
LORIS PHYSICIAN SERVICES
Active
Parent organization
LORIS COMMUNITY HOSPITAL DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
LORIS COMMUNITY HOSPITAL DISTRICT
Authorized official
MR. TIM BROWNE (PRESIDENT/CEO)
(843) 716-7194
Entity
Organization
Contact information
Practice address
3655 MITCHELL STREET, BOX 690001, LORIS, SC 29569-9601
(843) 716-7194
(843) 716-7195
Mailing address
3655 MITCHELL STREET, BOX 690001, LORIS, SC 29569-9601
(843) 716-7194
(843) 716-7195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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