Organization
SENTINEL HEALTH PARTNERS, PA
Active
Parent organization
SENTINEL HEATH PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENTINEL HEATH PARTNERS
Authorized official
KIM BRAY (DIRECTOR, I.T.)
(803) 713-8350
Entity
Organization
Contact information
Practice address
1344 HAILE ST, CAMDEN, SC 29020-3076
(803) 432-1996
Mailing address
PO BOX 1259, CAMDEN, SC 29021-1259
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
42D0248605
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
PTAN
SC
01
—
002
BCBS OF SC
—
05
—
GP1679
—
SC
Enumeration date
07/09/2012
Last updated
05/12/2014
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