Organization
FOUR HOLES INDIAN ORGANIZATION EDISTO TRIBAL INC.
Active
Other names
Edisto Indian Free Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE CREEL (CHAIRMAN OF THE BOARD)
(843) 871-2126
Entity
Organization
Contact information
Practice address
1125 RIDGE RD, RIDGEVILLE, SC 29472-7846
(843) 871-2126
(843) 832-6019
Mailing address
1125 RIDGE RD, RIDGEVILLE, SC 29472-7846
(843) 871-2126
(843) 832-6019
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
SC
Other
Enumeration date
10/20/2014
Last updated
07/21/2022
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