Organization
LANCASTER CLINIC CORP
Active
Parent organization
LANCASTER CLINIC CORP
Other names
Palmetto Family Medicine of Kershaw
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANCASTER CLINIC CORP
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
206 SOUTH MATSON ST, KERSHAW, SC 29067-1506
(803) 475-1156
(803) 475-1128
Mailing address
206 SOUTH MATSON ST, KERSHAW, SC 29067-1506
(803) 475-1156
(803) 475-1128
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC191
—
SC
Enumeration date
06/20/2008
Last updated
07/21/2010
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