Healthcare Provider Details

I. General information

NPI: 1386686517
Provider Name (Legal Business Name): MARION COUNTY WOMEN'S CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 NORTH MAIN STREET
MARION SC
29571-0250
US

IV. Provider business mailing address

1324 NORTH MAIN STREET PO BOX 250
MARION SC
29571-0250
US

V. Phone/Fax

Practice location:
  • Phone: 843-423-3800
  • Fax: 843-423-3224
Mailing address:
  • Phone: 843-423-3800
  • Fax: 843-423-3224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VALERIE BURKE
Title or Position: OWNER
Credential: M.D.,F.A.C.O.G.
Phone: 843-423-3800