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Contact Information

CHESTERFIELD CLINIC CORP
715 S DOCTORS DR
SUITE C
CHERAW, SC29520-7113
 Phone: 843-320-9086
 Fax: 843-320-9087
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

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

NPI Number 1578622478
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2006
Last updated 09/20/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP1883
  • SC Medicaid GP3624
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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