Organization
PREMIER MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENI CLEMENT OKONOFUA M.B.,B.S (PRESIDENT)
(843) 568-8330
Entity
Organization
Contact information
Practice address
5390 DORCHESTER RD, NORTH CHARLESTON, SC 29418-5652
(843) 552-3099
(843) 552-3277
Mailing address
PO BOX 31292, CHARLESTON, SC 29417-1292
(843) 552-3099
(843) 559-9037
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
21076
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T53518
—
SC
Enumeration date
07/02/2006
Last updated
04/20/2008
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