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General NPI Number Information
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NPI Number | 1285618132
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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 | 12/05/2005
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 901 W GREENWOOD ST STE 1
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City | ABBEVILLE
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State | SC
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Zip | 29620-5717
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Country | US
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Telephone | 864-366-9681
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Fax | 864-366-5600
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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 | 864-366-3279
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Fax | 864-366-3317
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Authorized Official
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Title or Position | PRESIDENT AND 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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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