Organization
MOBILE MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH P ORBECK DO (PRESIDENT CEO)
(843) 423-5222
Entity
Organization
Contact information
Practice address
210 S NICHOLS ST, NICHOLS, SC 29581
(843) 423-5222
(843) 526-1389
Mailing address
PO BOX 1214, MARION, SC 29571
(843) 423-5222
(843) 526-1389
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0513
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8835
PTAN
SC
05
—
T00149
—
SC
Enumeration date
03/26/2007
Last updated
10/12/2007
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