Organization
KB MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C BALICH MD (MANAGER)
(843) 639-9509
Entity
Organization
Contact information
Practice address
1304 W BOBO NEWSOM HWY, HARTSVILLE, SC 29550-4710
(843) 339-4600
Mailing address
1121 S 4TH ST, HARTSVILLE, SC 29550-0700
(843) 639-9509
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
011678
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3064
—
SC
Enumeration date
02/02/2007
Last updated
08/22/2020
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