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Organization

DR. SPENCER C DISHER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SPENCER C DISHER JR. M.D. (OWNER)
(803) 534-3503
Entity
Organization

Contact information

Practice address
196 CENTRE ST, ORANGEBURG, SC 29115-6044
(803) 534-3503
(803) 534-3510
Mailing address
PO BOX 1266, ORANGEBURG, SC 29116-1266
(803) 534-3503
(803) 534-3510

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/05/2008
Last updated
06/05/2008
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