Organization
TERRELL L STONE
Active
Other names
St Matthews Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL L STONE MD (OWNER)
(803) 874-3902
Entity
Organization
Contact information
Practice address
725 HARRY C RAYSOR DR, ST MATTHEWS, SC 29135-8403
(803) 874-3902
(803) 874-3905
Mailing address
P O BOX 638, 725 HARRY C RAYSOR DRIVE, ST MATTHEWS, SC 29135-0638
(803) 874-3902
(803) 874-3905
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
13583
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC076
—
SC
Enumeration date
05/15/2007
Last updated
07/24/2009
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