Organization
EDISTO REGIONAL HEALTH SERVICES INC
Active
Other names
Holly Hill Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M GOODLETT (C.O.O.)
(803) 395-2462
Entity
Organization
Contact information
Practice address
185 BUNCH FORD ROAD, HOLLY HILL, SC 29059-1640
(803) 395-4497
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
SC
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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