Organization
CHESTERFIELD CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
715 S DOCTORS DR, STE F, CHERAW, SC 29520-7113
(843) 537-1111
(843) 537-9393
Mailing address
PO BOX 487, WHITE SULPHUR SPRINGS, WV 24986-0487
(304) 536-5030
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0965490001
DME
SC
Enumeration date
08/28/2007
Last updated
02/08/2008
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