Organization
DORN MEDICAL GROUP, P.A.
Active
Other names
Blythewood Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK E DORN PA-C (CHIEF MEDICAL OFFICER)
(803) 606-8935
Entity
Organization
Contact information
Practice address
121 BLYTHEWOOD RD, BLYTHEWOOD, SC 29016-8426
(803) 606-8935
Mailing address
220 LAKE ESTATE DR, CHAPIN, SC 29036-7789
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
PA05553
TX
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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