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Black River Healthcare, Inc.
Family Nurse Practitioner in Greeleyville, South Carolina
NPI 1558308965

Black River Healthcare, Inc. is a Family Nurse Practitioner based in Manning, SC and is specialized in Family. Black River Healthcare, Inc. practices in Greeleyville, SC. The NPI Number for Black River Healthcare, Inc. is 1558308965 and holds a License No. (South Carolina).

The current practice location address for Black River Healthcare, Inc. is 86 N Main St, Greeleyville, SC and can be reached out via phone at 843-426-2180 and via fax at 843-426-2182.

Location: 86 N Main St, Greeleyville, SC, 29102-0578
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558308965
Provider Name
Black River Healthcare, Inc.
Credential
Provider Entity Type
Organization
Address
86 N Main St, Greeleyville, SC, 29102-0578
Phone Number
843-426-2180
Fax Number
843-426-2182
Provider Enumeration Date
06/02/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4399 01 SC MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
86 N Main St
City
Greeleyville
State
South Carolina
Zip
29056-9374
Phone Number
843-426-2180
Fax Number
843-426-2182
person
Provider Business Mailing Address Details
Address
86 N Main St
City
Greeleyville
State
South Carolina
Zip
29056-9374
Phone Number
843-426-2180
Fax Number
843-426-2182
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
985 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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