42D2037720 CLIA NUMBER - EDMUND RHETT JR MD PA

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Laboratory Demographics

CLIA Number: 42D2037720

Facility Name: EDMUND RHETT JR MD PA

Facility Address:
2002 SOUTH FRASIER ST
GEORGETOWN, SC
ZIP 29440
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Facility Phone Number: 843 375-2210

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831185990

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	42D2037720
LAB Type	Physician Office
Facility Name	EDMUND RHETT JR MD PA
Street	2002 SOUTH FRASIER ST
City	GEORGETOWN
State	SC
ZIP	29440
Phone	843 375-2210
CertificateType	4
CertificateEffectiveDate	3/6/2024
CertificateExpirationDate	3/5/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024