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General NPI Number Information
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NPI Number | 1063449361
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Entity Type | Organization
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Legal Business Name | ABBEVILLE COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 420 THOMSON CIR
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City | ABBEVILLE
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State | SC
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Zip | 29620
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Country | US
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Telephone | 864-366-5011
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Fax | 864-366-3317
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Provider Business Mailing Address
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Address Line | PO BOX 887
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City | ABBEVILLE
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State | SC
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Zip | 29620-0887
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Country | US
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Telephone | 864-336-3279
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Fax | 864-366-3317
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | MATTHEW TOLBERT LOGAN
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Credential |
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Telephone | 864-725-4780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | HTL-098
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License Number State | SC
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