Organization
LORIS COMMUNITY HOSPITAL DISTRICT
Active
Organization
LORIS COMMUNITY HOSPITAL DISTRICT
Active
Other names
LORIS HEALTHCARE SYSTEM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED O TODD (SENIOR VP/CFO)
(843) 716-7271
Entity
Organization
Contact information
Practice address
3655 MITCHELL ST, BOX 690001, LORIS, SC 29569-9601
(843) 716-7596
(843) 716-7093
Mailing address
3655 MITCHELL ST, BOX 690001, LORIS, SC 29569-9601
(843) 716-7596
(843) 716-7093
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
HTL033
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400649
—
SC
Enumeration date
11/22/2006
Last updated
05/25/2010
Update your record
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