Organization
KERSHAWHEALTH
Active
Parent organization
KERSHAW HEALTH
Other names
KERSHAWHEALTH PULMONARY SERVICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
KERSHAW HEALTH
Authorized official
DONNIE J WEEKS (CEO)
(803) 713-2065
Entity
Organization
Contact information
Practice address
1218 ROBERTS ST, CAMDEN, SC 29020-3736
(803) 425-6460
(803) 425-6477
Mailing address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328735
—
SC
05
—
369382
—
SC
05
—
400480
—
SC
Enumeration date
12/09/2008
Last updated
08/19/2010
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