Organization
BLACK RIVER HEALTHCARE, INC.
Active
Other names
Kingstree Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA F. BROOKS (CHIEF EXECUTIVE OFFICER)
(803) 433-6790
Entity
Organization
Contact information
Practice address
500 THURGOOD MARSHALL BOULEVARD, SUITE A, KINGSTREE, SC 29556
(843) 355-1425
(843) 355-1429
Mailing address
PO BOX 578, MANNING, SC 29102-0578
(843) 355-1425
(843) 355-1429
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
999
SC
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2007
Last updated
12/11/2008
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