Organization
SANDHILLS MEDICAL FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST JAMES STANLEY WARDLAW (CEO)
(843) 335-8291
Entity
Organization
Contact information
Practice address
409 E CHURCH ST, JEFFERSON, SC 29718-8701
(843) 658-3005
(843) 658-7780
Mailing address
PO BOX 366, MC BEE, SC 29101-0366
(843) 658-3005
(843) 658-7780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
SC
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC022
—
SC
Enumeration date
12/05/2006
Last updated
09/29/2023
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