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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

NPI Number 1578622478
LBN Legal business name CHESTERFIELD CLINIC CORP
Authorized official DEBBIE BREWER - (DIRECTOR OF PROVIDER ENROLLMENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/06/2006
Last updated 09/20/2007 - About 19 years ago
Identifiers
SC Medicaid GP1883
SC Medicaid GP3624
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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