Organization
MARION PHYSICIAN SERVICES LLC
Active
Parent organization
MARION PHYSICIAN SERVICES LLC
Other names
Marion Medical Group-Latta
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARION PHYSICIAN SERVICES LLC
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
108A E MAIN ST, LATTA, SC 29565-1617
(843) 752-1234
(843) 752-1108
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(877) 309-5310
(615) 465-2876
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
SC
Other
Enumeration date
10/28/2010
Last updated
12/19/2011
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