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Organization

PEE DEE NEUROSURGICAL SERVICE PA

Active
Other names
Kenneth S Kammer MD
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH S KAMMER M.D. (OWNER)
(843) 665-4758
Entity
Organization

Contact information

Practice address
101 S RAVENEL ST STE 300, FLORENCE, SC 29506-2644
(843) 665-4758
(843) 669-4956
Mailing address
101 S RAVENEL ST STE 300, FLORENCE, SC 29506-2644
(843) 665-4758
(843) 669-4956

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD9716
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
097166
SC
Enumeration date
05/27/2008
Last updated
02/05/2013
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