Organization
PEEDEEHEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI REED (ACCOUNTING MANAGER)
(803) 799-1700
Entity
Organization
Contact information
Practice address
201 CASHUA ST, DARLINGTON, SC 29532-3301
(843) 393-7452
(843) 393-6210
Mailing address
3400 WEST AVE, COLUMBIA, SC 29203-6901
(803) 799-1700
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IC0007
—
SC
05
—
L00047
—
SC
05
—
PA6118
—
SC
Enumeration date
05/24/2007
Last updated
08/22/2020
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