Organization
SURGERY CENTER OF DILLON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER B BLUM MD (PRESIDENT)
(843) 774-0800
Entity
Organization
Contact information
Practice address
409 E MADISON ST, DILLON, SC 29536-2555
(843) 774-0800
(843) 774-0499
Mailing address
409 E MADISON ST, DILLON, SC 29536-2555
(843) 774-0800
(843) 774-0499
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142027
—
SC
Enumeration date
11/15/2006
Last updated
09/01/2010
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