Organization
MED-ENROLL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERSTIN NEMEC (PRESIDENT)
(843) 819-0801
Entity
Organization
Contact information
Practice address
1354 CELEBRATION BLVD, FLORENCE, SC 29501-5495
(843) 819-0801
Mailing address
PO BOX 5599, FLORENCE, SC 29502-5599
(843) 819-0801
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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