CHESTERFIELD CLINIC CORP NPI 1578622478

NPI Information

  • NPI: 1578622478
  • Provider Name: CHESTERFIELD CLINIC CORP
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Doing Business As: CAROLINA SURGICAL PRACTICE
  • Address: 715 S DOCTORS DR
    SUITE C
    CHERAW, SC
    ZIP 29520
  • Phone: (843) 320-9086

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NPI Details

CHESTERFIELD CLINIC CORP is a surgery in Cheraw, SC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. CHESTERFIELD CLINIC CORP NPI is 1578622478. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Surgical Practice.

The provider's business location address is:

715 S DOCTORS DR
SUITE C
CHERAW, SC
ZIP 29520-113
Phone: (843) 320-9086
Fax: (843) 320-9087

The provider's authorized official is Debbie T Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (615) 465-7626.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 9/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgerySOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17625MEDICARE PINSOUTH CAROLINA
2GP1883MEDICAIDSOUTH CAROLINA
3GP3624MEDICAIDSOUTH CAROLINA
46532MEDICARE PINSOUTH CAROLINA

What is NPI?

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This page was last updated on: 11/21/2025

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