CAROLINA RURAL PRACTICE MANAGEMENT INC. NPI 1699808006

NPI Information

CAROLINA RURAL PRACTICE MANAGEMENT, INC. is a rural health clinic center in Blackville, SC. CAROLINA RURAL PRACTICE MANAGEMENT, INC. NPI is 1699808006. The provider is registered as an organization entity type.
The provider Is Doing Business As Blackville Medical Center.

The provider's business location address is:

22 GARDENER RD
BOX 247
BLACKVILLE, SC
ZIP 29817-247
Phone: (803) 284-2041
Fax: (803) 284-5516

The provider's authorized official is Charlie Clifton Alsbrooks .
The authorized official title is Administrator and has the following contact phone number (803) 641-6277.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/12/2007.

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:

Other Identifiers

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

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