Organization
MAIN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL A WILSON (BILLING ADMINISTRATOR)
(864) 644-2700
Entity
Organization
Contact information
Practice address
400 MARKET ST, CHERAW, SC 29520-2637
(843) 537-8200
(843) 537-8444
Mailing address
1454 GENTRY MEMORIAL HWY, EASLEY, SC 29640-6940
(864) 644-2700
(864) 644-2710
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4068
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4068
MEDICAL LICENSE
SC
Enumeration date
05/17/2017
Last updated
05/17/2017
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