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Organization
NORTH STRAND OBGYN
Active
Organization
NORTH STRAND OBGYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER JORDAN (OFFICE MANAGER)
(843) 716-0380
Entity
Organization
Contact information
Practice address
3710 MISHOE ST, LORIS, SC 29569-2822
(843) 671-6038
(843) 716-0381
Mailing address
3710 MISHOE ST, LORIS, SC 29569-2822
(843) 671-6038
(843) 716-0381
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23136
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T74158
—
SC
Enumeration date
03/28/2014
Last updated
03/28/2014
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