Organization
PEE DEE MEDICAL ASSOCIATES, LLC
Active
Parent organization
WILSON SENIOR CARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILSON SENIOR CARE, INC.
Authorized official
MR. DENNIS A LOFE (CEO)
(843) 393-9925
Entity
Organization
Contact information
Practice address
116 CASHUA ST, DARLINGTON, SC 29532-3202
(843) 393-9925
Mailing address
PO BOX 510, DARLINGTON, SC 29540-0510
(843) 393-9925
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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