Healthcare Provider Details

I. General information

NPI: 1033044839
Provider Name (Legal Business Name): NEWBERRY COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 KINARD ST STE 105
NEWBERRY SC
29108-2965
US

IV. Provider business mailing address

2605 KINARD ST STE 105
NEWBERRY SC
29108-2965
US

V. Phone/Fax

Practice location:
  • Phone: 803-945-4140
  • Fax:
Mailing address:
  • Phone: 803-945-4140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: GENA A DRIGGERS
Title or Position: DIRECTOR, INFORMATION TECHNOLOGY
Credential:
Phone: 803-405-7510