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Contact Information

CHESTERFIELD CLINIC CORP
715 S DOCTORS DR
SUITE B
CHERAW, SC29520-7113
 Phone: 843-537-3622
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHESTERFIELD CLINIC CORP · (Female)

NPI # 1164454435
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2006
Last updated 07/20/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 5900377
  • NC Medicaid 5950778
  • NC Medicaid 5950784
  • SC Medicaid GP1883
  • SC Medicaid GP4535
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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