Organization
KERSHAW HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
40 PINNACLE PARKWAY, BUILDING 100, ELGIN, SC 29045
(803) 432-4311
Mailing address
40 PINNACLE PARKWAY, BUILDING 100, ELGIN, SC 29045
(803) 424-5160
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5297
—
SC
05
—
GP7138
—
SC
Enumeration date
06/24/2009
Last updated
04/25/2022
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