Organization
SCOTLAND MEMORIAL HOSPITAL
Active
Other names
MARLBORO OB GYN
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIEN STONGE (CFO)
(910) 291-7547
Entity
Organization
Contact information
Practice address
1007 CHERAW HIGHWAY, BENNETTSVILLE, SC 29512
(243) 479-8357
(843) 479-8347
Mailing address
PO BOX 604093, CHARLOTTE, NC 28260-4093
(910) 291-7000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36237
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4887
—
SC
Enumeration date
04/29/2008
Last updated
09/22/2022
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