Organization
CHERAW FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA WILKES (OFFICE MANAGER)
(843) 537-2171
Entity
Organization
Contact information
Practice address
710 CHESTERFIELD HWY, CHERAW, SC 29520-7001
(843) 537-2171
(843) 537-5926
Mailing address
PO BOX 809, CHERAW, SC 29520-0809
(843) 537-2171
(843) 537-5926
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0540
—
SC
Enumeration date
08/02/2005
Last updated
07/21/2022
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