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Organization
COVENANT BIRTH CENTER, LLC
Active
Organization
COVENANT BIRTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA S. BYRD LM, CPM (EXECUTIVE DIRECTOR)
(803) 794-5889
Entity
Organization
Contact information
Practice address
1900 SUNSET BLVD, SUITE A, WEST COLUMBIA, SC 29169-5932
(803) 794-5889
Mailing address
1900 SUNSET BLVD, SUITE A, WEST COLUMBIA, SC 29169-5932
(803) 794-5889
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
BC-006
SC
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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