Organization
FEDERAL CORRECTIONAL INS ESTILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD REED MD (STAFF PHYSICIAN)
(803) 625-4607
Entity
Organization
Contact information
Practice address
100 PRISON ROAD, ESTILL, SC 29918-0699
(803) 625-4607
(803) 625-5603
Mailing address
PO BOX 699, 100 PRISON RD, ESTILL, SC 29918-0699
(803) 625-4607
(803) 625-5603
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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