Organization
PEE DEE HEALTH CARE, PA
Active
Other names
Olanta Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
TONY R MEGNA JD (CEO)
(803) 254-3676
Entity
Organization
Contact information
Practice address
211 SOUTH JONES RD, OLANTA, SC 29114
(843) 396-9723
(843) 396-9735
Mailing address
3400 WEST AVE, COLUMBIA, SC 29203-6901
(803) 254-3676
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
13928
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC 180
—
SC
Enumeration date
06/19/2009
Last updated
07/01/2009
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