Organization
BLUE GRANITE MEDICAL CENTER
Active
Parent organization
FAIRFIELD MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRFIELD MEMORIAL HOSPITAL
Authorized official
ANNE H BASS (CFO)
(803) 635-0247
Entity
Organization
Contact information
Practice address
880 W MOULTRIE ST, WINNSBORO, SC 29180-2411
(803) 635-0288
(803) 635-0262
Mailing address
PO BOX 620, WINNSBORO, SC 29180-0620
(803) 635-0288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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