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Organization

STEPHENS INTERNAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN G MCINVILLE (BUSINESS SERVICES REPRESENTATIVE)
(843) 669-5162
Entity
Organization

Contact information

Practice address
203 W ELM ST, FLORENCE, SC 29501-4750
(843) 669-5162
(843) 667-4573
Mailing address
PO BOX 100523, FLORENCE, SC 29501-0523
(843) 669-5162
(843) 667-4573

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22024
SC

Other

Enumeration date
10/24/2005
Last updated
04/20/2008
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