Organization
KERSHAWHEALTH
Active
Parent organization
KERSHAWHEALTH
Other names
KershawHealth Primary Care at Lugoff
Organization subpart
Yes
Provider details
NPI number
Legal business name
KERSHAWHEALTH
Authorized official
DONNIE J WEEKS (PRESIDENT/CEO)
(803) 713-6227
Entity
Organization
Contact information
Practice address
116 STANDARD WAREHOUSE RD, LUGOFF, SC 29078-9670
(803) 438-6023
(803) 438-3671
Mailing address
116 STANDARD WAREHOUSE RD, LUGOFF, SC 29078-9670
(803) 438-6023
(803) 438-3671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400480
—
SC
Enumeration date
09/02/2011
Last updated
09/02/2011
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