Organization
MARION REGIONAL HEALTHCARE SYSTEM
Active
Other names
Total Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD E TUCKER (CHIEF EXECUTIVE OFFICER)
(843) 431-2405
Entity
Organization
Contact information
Practice address
2835 E HIGHWAY 76, SUITE 7, MULLINS, SC 29574-6038
(843) 431-2710
(843) 431-2716
Mailing address
PO BOX 1150, MARION, SC 29571-1150
(843) 431-2710
(843) 431-2716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247904
—
SC
05
—
GP4561
—
SC
01
—
P00383970
MEDICARE RAILROAD
SC
Enumeration date
07/31/2006
Last updated
06/24/2009
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