Individual
DR. VERSTON KIRK SERVICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 WREN ST, BARNWELL, SC 29812-1528
(803) 541-4702
Mailing address
85 WREN ST, BARNWELL, SC 29812-1528
(803) 541-4702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27528
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AA08395394
—
SC
Enumeration date
10/03/2006
Last updated
07/08/2007
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