Organization
CATAWBA SERVICES UNIT-INDIAN HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA G CORNWELL (CEO ACTING)
(803) 366-9090
Entity
Organization
Contact information
Practice address
2893 STURGIS RD, ROCK HILL, SC 29730-6607
(803) 366-9090
Mailing address
2893 STURGIS RD, ROCK HILL, SC 29730-6607
(803) 366-9090
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4025
—
SC
Enumeration date
07/09/2006
Last updated
04/11/2011
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