NPI 1467781005

Loris Community Hospital District

Organisation Family Medicine Physician Loris, SC

Practice location

Address: 3418 Casey St, Loris, SC 29569-2904
Phone: (843) 756-7885
Fax: (843) 756-7855

Authorised official

Name: Carolyn Ward
Title: Loris Physician Credentialing
Phone: (919) 880-6406

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in South Carolina →

Nephrology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X

Other Internal Medicine providers in South Carolina →

Registry record

NPI: 1467781005
Entity type: Organization
NPI issued: 10 Dec 2009
Record last updated: 20 May 2010

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.