Organization
PILOT CLUB OF ORANGEBURG FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA W HAIGLER (FOUNDATION MANAGER)
(803) 534-1717
Entity
Organization
Contact information
Practice address
161 CENTER ST, PILOT CLUB OF ORANGEBURG FOUNDATION, ORANGEBURG, SC 29115
(803) 534-1717
(803) 534-1877
Mailing address
PO BOX 2282, PILOT CLUB OF ORANGEBURG FOUNDATION, ORANGEBURG, SC 29116-2282
(803) 534-1717
(803) 543-1877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1174
—
SC
Enumeration date
12/28/2007
Last updated
07/01/2008
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