Organization
HUGH G MERRIMAN III MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH G MERRIMAN III MD (OWNER)
(803) 395-4601
Entity
Organization
Contact information
Practice address
1161 COOK RD, ORANGEBURG, SC 29118-8204
(803) 395-4601
(803) 395-4620
Mailing address
1161 COOK RD, ORANGEBURG, SC 29118-8204
(803) 395-4600
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432601-001
CIGNA
SC
05
—
GP0593
—
SC
Enumeration date
04/27/2006
Last updated
04/22/2008
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