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Organization

CHESTERFIELD MARLBORO LP

Active
Other names
Chesterfield General Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE HOLTSFORD (AUTH OFFICIAL / DIR BUSINESS OFFICE)
(615) 465-7466
Entity
Organization

Contact information

Practice address
711 CHESTERFIELD HWY, CHERAW, SC 29520-7002
(843) 537-7881
(843) 320-3470
Mailing address
PO BOX 198172, ATLANTA, GA 30384-8172

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-681
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139595
SC
05
301020
SC
05
400621
SC
Enumeration date
02/09/2006
Last updated
05/25/2011
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