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Organization

KERSHAWHEALTH

Active
Parent organization
KERSHAWHEALTH
Other names
KershawHealth Women's Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
KERSHAWHEALTH
Authorized official
MR. DONNIE J WEEKS (CEO)
(803) 713-6227
Entity
Organization

Contact information

Practice address
1165 HIGHWAY 1 S, SUITE 500, LUGOFF, SC 29078-8966
(803) 438-3800
(803) 438-3898
Mailing address
1 WINDSOR CV, SUITE 402, COLUMBIA, SC 29223-1833
(803) 788-5916
(803) 788-9564

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
328735
SC
05
369382
SC
05
400480
SC
Enumeration date
05/13/2010
Last updated
06/24/2010
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