Organization
HARDEEVILLE HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDARSHAN SINGH BHIMBRA M.D. (PRESIDENT)
(843) 784-3232
Entity
Organization
Contact information
Practice address
16 MAIN ST, HARDEEVILLE, SC 29927-5926
(843) 784-3232
Mailing address
P.O. BOX- 635, HARDEEVILLE, SC 29927-5926
(843) 784-3232
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
17734
SC
207RN0300X
Nephrology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4P1881
—
SC
Enumeration date
10/19/2006
Last updated
11/15/2016
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