Organization
CHESTERFIELD MARLBORO LP
Active
Parent organization
CHESTERFIELD MARLBORO LP
Other names
Marlboro Primary Care Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHESTERFIELD MARLBORO LP
Authorized official
DEBBIE T BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
1040 MARLBORO WAY, SUITE 1, BENNETTSVILLE, SC 29512-2494
(843) 479-5890
(843) 479-5893
Mailing address
1040 MARLBORO WAY, SUITE 1, BENNETTSVILLE, SC 29512-2494
(843) 479-5890
(843) 479-5893
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC529
—
SC
Enumeration date
04/04/2007
Last updated
09/28/2011
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