| NPI | 1912288093 |
|---|---|
| Doing Business As | KERSHAWHEALTH PRIMARY CARE AT LUGOFF |
| Entity Type | Organization |
| Authorized Contact | DONNIE J WEEKS President/CEO 803-713-6227 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |