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1316762149
MAIN ST MEDICAL - NEW ELLENTON LLC
NEW ELLENTON, SC
NPI
1316762149
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Entity Type
Organization
Authorized Contact
AMY YOUNG HIBBITTS
Owner
803-646-5036
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2024-11-18
Last Update Date
2024-11-18
Business Address
MAIN ST MEDICAL - NEW ELLENTON LLC
735 MAIN ST N
NEW ELLENTON, SC 29809-2518
Phone number: 803-443-0077
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Mailing Address
MAIN ST MEDICAL - NEW ELLENTON LLC
735 MAIN ST N
NEW ELLENTON, SC 29809-2518
Phone number:
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