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1851717623
PHYSICIAN AT HOME, PC
CONWAY, SC
NPI
1851717623
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Entity Type
Organization
Authorized Contact
KENNETH A. SANTIAGO
President
413-563-7534
Organization Subpart ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: SC 34596)
Enumeration Date
2014-03-17
Last Update Date
2014-03-17
Business Address
PHYSICIAN AT HOME, PC
300 SINGLETON RIDGE RD
CONWAY, SC 29526-9142
Phone number: 413-563-7534
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Mailing Address
PHYSICIAN AT HOME, PC
820 67TH AVE N P.O. BOX 70157
MYRTLE BEACH, SC 29572-0200
Phone number: 413-563-7534
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