NPI 1003043845

Pee Dee Health Care, PA

Organisation Rural Health Clinic/Center Olanta, SC

Practice location

Address: 211 South Jones Rd, Olanta, SC 29114
Phone: (843) 396-9723
Fax: (843) 396-9735
Mailing address: 3400 West Ave, Columbia, SC 29203-6901

Authorised official

Name: Tony R Megna
Title: Ceo
Phone: (803) 254-3676

Registered specialties

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X Licence 13928 (SC)

Other Clinic/Center providers in South Carolina →

Registry record

NPI: 1003043845
Entity type: Organization
NPI issued: 19 Jun 2009
Record last updated: 1 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.