Organization
KERSHAWHEALTH
Active
Other names
DIABETES EDUCATIONAL PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNIE J WEEKS (CEO)
(803) 713-2065
Entity
Organization
Contact information
Practice address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 432-4311
Mailing address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 432-4311
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ID#005277
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DPE066
—
SC
Enumeration date
06/14/2007
Last updated
09/23/2009
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