Organization
BLACK RIVER HEALTHCARE, INC.
Active
Other names
Black River Healthcare - Manning Medical
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA F. BROOKS (C.E.O.)
(803) 433-6790
Entity
Organization
Contact information
Practice address
11 W. HOSPITAL ST., MANNING, SC 29102-2925
(803) 433-4321
(803) 433-0075
Mailing address
PO BOX 578, MANNING, SC 29102-0578
(803) 433-6790
(803) 433-6796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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