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1235364282
LIVE OAK MEDICAL CENTER, PA
KINGSTREE, SC
NPI
1235364282
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Entity Type
Organization
Authorized Contact
ALBERT DURANT MIMS
Director
843-687-0435
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 9352)
Enumeration Date
2009-05-20
Last Update Date
2010-07-09
Business Address
LIVE OAK MEDICAL CENTER, PA
342 W MAIN ST
KINGSTREE, SC 29556-3235
Phone number: 843-355-3621
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Mailing Address
LIVE OAK MEDICAL CENTER, PA
342 W MAIN ST
KINGSTREE, SC 29556-3235
Phone number: 843-687-0435
Copy
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