Organization
ABBEVILLE COUNTY MEMORIAL HOSPITAL
Active
Parent organization
ABBEVILLE COUNTY MEMORIAL HOSPITAL
Other names
Due West Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABBEVILLE COUNTY MEMORIAL HOSPITAL
Authorized official
MARY MARGARET JACKSON (CHIEF COMPLIANCE OFFICER)
(864) 366-3279
Entity
Organization
Contact information
Practice address
6 COLLEGE ST, DUE WEST, SC 29639-9554
(864) 379-2345
(864) 379-3228
Mailing address
PO BOX 887, ABBEVILLE, SC 29620-0887
(864) 366-5011
(864) 366-3317
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D2178584
CLIA
SC
05
—
GP7141
—
SC
Enumeration date
11/17/2015
Last updated
01/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us