Organization
NEWBERRY COUNTY MEMORIAL HOSPITAL
Active
Other names
General Surgical Services of NCMH
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L REYNOLDS (CHIEF FINANCIAL OFFICER)
(803) 405-7469
Entity
Organization
Contact information
Practice address
1830 POND FIELD ROAD, SUITE A1, NEWBERRY, SC 29108-0497
(803) 405-7140
(803) 405-7231
Mailing address
PO BOX 497, NEWBERRY, SC 29108-0497
(803) 405-7555
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5165
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400532
—
SC
Enumeration date
07/14/2009
Last updated
12/02/2011
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