Organization
MARION REGIONAL HEALTHCARE SYSTEM
Active
Other names
Marion County Surgical Center
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 5, MULLINS, SC 29574-6038
(843) 423-3739
(843) 423-4102
Mailing address
2835 E HIGHWAY 76, SUITE 5, MULLINS, SC 29574-6038
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110338
—
SC
05
—
N00724
—
SC
Enumeration date
02/27/2007
Last updated
11/12/2007
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