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Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELYN BROWN (ADMINISTRATOR)
(843) 350-2680
Entity
Organization

Contact information

Practice address
299 BUCK ISLAND RD, BLUFFTON, SC 29910-2991
(843) 350-2680
Mailing address
PO BOX 2026, BLUFFTON, SC 29910-2026
(843) 350-2680

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
291U00000X
Clinical Medical Laboratory

Other

Enumeration date
04/10/2019
Last updated
10/21/2022
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