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Organization

MARION REGIONAL HEALTHCARE SYSTEM

Active
Other names
Marion Medical Center OB/GYN
Organization subpart
No

Provider details

NPI number
Authorized official
HAROLD E TUCKER (CHIEF EXECUTIVE OFFICER)
(843) 431-2405
Entity
Organization

Contact information

Practice address
2845 E HIGHWAY 76, SUITE 3, MULLINS, SC 29574-6037
(843) 431-2740
(843) 431-2197
Mailing address
2845 E HIGHWAY 76, SUITE 3, MULLINS, SC 29574-6037
(843) 431-2740
(843) 431-2197

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
296147
SC
Enumeration date
09/12/2006
Last updated
01/10/2008
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