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Organization

FAMILY DIAGNOSTICS, LLC

Active
Parent organization
FAMILY DIAGNOSTIC ASSOC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAMILY DIAGNOSTIC ASSOC
Authorized official
HEATHER L WAY (OFFICE ADMINISTRATOR)
(803) 496-7174
Entity
Organization

Contact information

Practice address
922 HOLLY ST, HOLLY HILL, SC 29059-2762
(803) 496-7174
(803) 496-7928
Mailing address
922 HOLLY ST, HOLLY HILL, SC 29059-2762
(803) 496-7174
(803) 496-7928

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
L00039
SC
05
RHC011
SC
Enumeration date
07/29/2006
Last updated
02/27/2012
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