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Organization

KERSHAW HOSPITAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization

Contact information

Practice address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 432-4311
(803) 713-6384
Mailing address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 432-4311
(803) 713-6384

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SC
207RX0202X
Medical Oncology Physician
363L00000X
Nurse Practitioner
SC

Other

Enumeration date
07/23/2015
Last updated
04/25/2022
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