Organization
SANDHILLS MEDICAL FOUNDATION, INC.
Active
Parent organization
SANDHILLS MEDICAL FOUNDATION, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANDHILLS MEDICAL FOUNDATION, INC.
Authorized official
ERNEST JAMES STANLEY WARDLAW (CEO)
(843) 335-8291
Entity
Organization
Contact information
Practice address
40 BALDWIN AVE., LUGOFF, SC 29078-8966
(803) 408-3262
(803) 408-8895
Mailing address
PO BOX 366, MCBEE, SC 29101-7101
(843) 335-8291
(843) 335-8731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
SC
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC050
—
SC
Enumeration date
12/05/2006
Last updated
09/29/2023
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