Organization
HARDEEVILLE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
1010 MEDICAL CENTER DR, SUITE 240, HARDEEVILLE, SC 29927-3447
(843) 784-8297
(843) 784-7998
Mailing address
PO BOX 741905, ATLANTA, GA 30374-1905
(843) 784-8297
(843) 784-7998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
11/15/2011
Last updated
06/08/2016
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