Organization
PHYSICIANS LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA CLEMENTS JEFFORDS (LABORATORY MANAGER)
18034354316
Entity
Organization
Contact information
Practice address
110 BREEDIN ST, MANNING, SC 29102-3014
(803) 435-4316
(803) 435-2878
Mailing address
110 BREEDIN ST, MANNING, SC 29102-3014
(803) 435-4316
(803) 435-2878
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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