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NPI Code Detail

MEDICARE: ABBEVILLE COUNTY MEMORIAL HOSPITAL

MEDICARE: ABBEVILLE COUNTY MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician
2207X00000XOrthopaedic Surgery Physician
32084N0400XNeurology Physician
4208100000XPhysical Medicine & Rehabilitation Physician
5208800000XUrology Physician
62084P0800XPsychiatry Physician
7207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285618132
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABBEVILLE COUNTY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 887
Second Line :
City : ABBEVILLE
State : SC
Zip : 29620-0887
Country : US
Telephone Number : 864-366-3279
Fax Number : 864-366-3317
Provider Business Practice Location Address
First Line : 901 W GREENWOOD ST STE 1
Second Line :
City : ABBEVILLE
State : SC
Zip : 29620-5717
Country : US
Telephone Number : 864-366-9681
Fax Number : 864-366-5600
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MATTHEW TOLBERT LOGAN
Credential :
Telephone Number : 864-725-4780
Provider Enumeration Date : 12/05/2005
Last Update Date : 02/11/2026

Similar Medicare Providers

1740280718 — KEITH A SCOTT MD
Practice Location Address:
901 W GREENWOOD ST , SUITE 9
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29620-5717
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Practice Fax: 864-366-5600
1093709453 — PATRICIA SIEFFERMAN NP-C
Practice Location Address:
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Practice Phone: 864-366-9938
Practice Fax: 864-366-0818
1295769164 — LINDA LORRAINE WILLIAMS APRN
Practice Location Address:
901 W GREENWOOD ST SUITE 5
ABBEVILLE, SC
29620-5717
Practice Phone: 864-366-9938
Practice Fax: 864-366-0818
1194985234 — DR. CHRISTOPHER LEE OXENDINE M.D.
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Practice Fax: 864-366-5600
1184851727 — ASHLEY ELIZABETH HARTE M.D.
Practice Location Address:
901 W GREENWOOD ST , SUITE 9
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29620-5717
Practice Phone: 864-366-9681
Practice Fax: 864-366-5600
1396064804 — DOUGLAS BOYLSTON MOORE III MD
Practice Location Address:
901 W GREENWOOD ST , SUITE 9
ABBEVILLE, SC
29620-5717
Practice Phone: 864-366-9681
Practice Fax: 864-366-5600

Directions to “ABBEVILLE COUNTY MEMORIAL HOSPITAL ” Practice Location

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