Healthcare Provider Details

I. General information

NPI: 1326961129
Provider Name (Legal Business Name): MEDIRN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 GROVE BLVD
FLORENCE SC
29501-8185
US

IV. Provider business mailing address

1024 GROVE BLVD
FLORENCE SC
29501-8185
US

V. Phone/Fax

Practice location:
  • Phone: 843-326-0006
  • Fax: 843-326-0006
Mailing address:
  • Phone: 843-326-0006
  • Fax: 843-326-0006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DORIS AMSTERDAM
Title or Position: OWNER
Credential: RN
Phone: 843-326-0006