Organization
MARION REGIONAL HEALTHCARE SYSTEM
Active
Other names
Marion Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD E TUCKER (CHIEF EXECUTIVE OFFICER)
(843) 431-2405
Entity
Organization
Contact information
Practice address
2845 E HIGHWAY 76, SUITE 4, MULLINS, SC 29574-6037
(843) 431-2720
(843) 431-2726
Mailing address
PO BOX 1150, MARION, SC 29571-1150
(843) 431-2720
(843) 431-2726
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC 538
—
SC
Enumeration date
07/10/2006
Last updated
07/22/2008
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