Organization
CAROLINA MEDICAL CENTER OF WALTERBORO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA HILL (OFFICE MANAGER)
(843) 549-4335
Entity
Organization
Contact information
Practice address
461 SPRUCE ST, WALTERBORO, SC 29488-2766
(843) 549-4335
Mailing address
461 SPRUCE ST, WALTERBORO, SC 29488-2766
(843) 549-4335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110222814
DR.KUMAR'SRAIL ROAD MC #
SC
01
—
1275632309
DR. KUMAR'S NPI
SC
01
—
16437
DR.K'S STATE LICENSE #
SC
05
—
164379
—
SC
01
—
19591
DR.B'S STATE LICENSE #
SC
05
—
195915
—
SC
01
—
20018291
DR.B'S FIRST CHOICE #
SC
01
—
452043939
DR.B'S BC#
SC
01
—
487949774
DR.K'S SS#
SC
01
—
621156
DR.K'S FIRST CHOICE #
SC
01
—
H016147061
DR.B'S RAIL ROAD MC#
SC
Enumeration date
06/25/2007
Last updated
06/07/2023
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