Organization
WILLAMSBURG REGIONAL HOSPITAL
Active
Other names
Williamsburg Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATIE DORRELL (PRACTICE MANAGER)
(843) 355-1772
Entity
Organization
Contact information
Practice address
500 THURGOOD MARSHALL HWY STE G, KINGSTREE, SC 29556-4143
(843) 355-0180
(843) 355-1606
Mailing address
500 THURGOOD MARSHALL HWY STE G, KINGSTREE, SC 29556-4143
(843) 355-0180
(843) 355-1606
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
13042
SC
Other
Enumeration date
09/26/2012
Last updated
05/19/2021
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