Organization
GOLDEN CORNER FAMILY PRAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD H. BOOKER JR. M.D. (CEO)
(864) 638-5402
Entity
Organization
Contact information
Practice address
1205 N HIGHWAY 11, WEST UNION, SC 29696-2715
(864) 638-5402
(864) 638-6126
Mailing address
PO BOX 219, WEST UNION, SC 29696-0219
(864) 638-5402
(864) 638-6126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094953
—
SC
05
—
L31357
—
SC
05
—
L31366
—
SC
Enumeration date
01/03/2007
Last updated
03/17/2010
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