Organization Name: | SANDHILLS MEDICAL FOUNDATION |
NPI Number: | 1538195029 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALYSSA L. NORWOOD (DIRECTOR OF PHARMACY) |
Mailing Address: | 40 Baldwin Ave Lugoff |
State: | SC US |
Postal Code: | 290789406 |
Phone Number: | 8034385537 |
Fax Number: | 8034385546 |
NPI Enumeration Date: | 06/25/2006 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |