Organization
HEALTHCARE MANAGEMENT GROUP INC
Active
Other names
Fowler Rural Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCH WALKER (BUSINESS OFFICE)
(843) 423-4044
Entity
Organization
Contact information
Practice address
2236 E HIGHWAY 76, MARION, SC 29571-6353
(843) 423-4044
Mailing address
PO BOX 875, MARION, SC 29571-0875
(843) 423-4044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6769
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBP500
—
SC
Enumeration date
01/12/2007
Last updated
06/27/2012
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