Organization
CHESTERFIELD MARLBORO LP
Active
Parent organization
CHESTERFIELD MARLBORO LP
Other names
Marlboro Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHESTERFIELD MARLBORO LP
Authorized official
LAURIE HOLTSFORD (AUTH OFFICIAL/DIR BUSINESS OFFICE)
(615) 465-7466
Entity
Organization
Contact information
Practice address
1076 MARLBORO WAY, STE 3, BENNETTSVILLE, SC 29512-2495
(843) 479-0432
(843) 479-1261
Mailing address
1076 MARLBORO WAY, STE 3, BENNETTSVILLE, SC 29512-2495
(843) 479-0432
(843) 479-1261
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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