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St Paul's Medical Group, Inc
Clinic/Center in Hollywood, South Carolina
NPI 1740402130

St Paul's Medical Group, Inc is a Clinic/Center based in Hollywood, SC. St Paul's Medical Group, Inc practices in Hollywood, SC. The NPI Number for St Paul's Medical Group, Inc is 1740402130 and holds a License No. (South Carolina).

The current practice location address for St Paul's Medical Group, Inc is 7610 Highway 164, Hollywood, SC and can be reached out via phone at 843-889-8018 and via fax at 843-889-9133.

Location: 7610 Highway 164, Hollywood, SC, 29449-1355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740402130
Provider Name
St Paul's Medical Group, Inc
Credential
Provider Entity Type
Organization
Address
7610 Highway 164, Hollywood, SC, 29449-1355
Phone Number
843-889-8018
Fax Number
843-889-9133
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42D0968299 01 SC CLIA NUMBER
GP2603 05 SC
institution
Provider Business Practice Location Address Details
Address
7610 Highway 164
City
Hollywood
State
South Carolina
Zip
29449
Phone Number
843-889-8018
Fax Number
843-889-9133
person
Provider Business Mailing Address Details
Address
7610 Highway 164
City
Hollywood
State
South Carolina
Zip
29449
Phone Number
843-889-8018
Fax Number
843-889-9133
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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