Organization
NEWBERRY COUNTY MEMORIAL HOSPITAL
Active
Other names
Little Mountain Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L REYNOLDS (CHIEF FINANCIAL OFFICER)
(803) 405-7469
Entity
Organization
Contact information
Practice address
99 N MILL ST, LITTLE MOUNTAIN, SC 29075-8788
(803) 945-1005
Mailing address
99 N MILL ST, LITTLE MOUNTAIN, SC 29075-8788
(803) 945-1005
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
SC
Other
Enumeration date
05/15/2009
Last updated
12/02/2011
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