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Organization

COMMUNITY MEDICAL CLINIC OF KERSHAW COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN WITKOWSKI CHCQM (EXECUTIVE DIRECTOR)
(803) 713-0806
Entity
Organization

Contact information

Practice address
110 E DEKALB ST, SUITE C, CAMDEN, SC 29020-4432
(803) 713-0806
(803) 713-0526
Mailing address
110 E DEKALB ST, SUITE C, CAMDEN, SC 29020-4432
(803) 713-0806
(803) 713-0526

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
14008
SC

Other

Enumeration date
09/04/2015
Last updated
09/04/2015
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