Organization
COVENANT SURGICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
B SHARON MURRAY MD (PRESIDENT)
(864) 833-4166
Entity
Organization
Contact information
Practice address
400 PLAZA CIR STE H, CLINTON, SC 29325-7558
(864) 833-4166
(864) 833-5668
Mailing address
PO BOX 120, CLINTON, SC 29325-0120
(864) 833-4166
(864) 833-5668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27503
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B0828
MEDCOST
SC
01
—
DE8167
MEDICARE RR
SC
05
—
GP4108
—
SC
Enumeration date
03/07/2007
Last updated
04/20/2008
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