Organization
CHESTERFIELD MARLBORO LP
Active
Other names
Marlboro Park Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
1138 CHERAW ST, BENNETTSVILLE, SC 29512-2466
(843) 479-2881
Mailing address
PO BOX 198157, ATLANTA, GA 30384-8157
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-677
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140492
—
SC
05
—
179465
—
SC
Enumeration date
02/07/2006
Last updated
02/18/2009
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