MEDICARE: UNION HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1417243833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	319 W SOUTH ST
Second Line	:
City	:	UNION
State	:	SC
Zip	:	29379-2838
Country	:	US
Telephone Number	:	864-427-8380
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 W SOUTH ST
Second Line	:
City	:	UNION
State	:	SC
Zip	:	29379-2838
Country	:	US
Telephone Number	:	864-427-8380
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF PHYSICIAN SERVICES
Name	:	TAMI C PETTIT
Credential	:
Telephone Number	:	864-427-9045

Provider Enumeration Date	:	06/23/2011
Last Update Date	:	07/18/2011

Similar Medicare Providers

1710980008 — DANIEL L O'SHIELDS PH.D
Practice Location Address:

323 W SOUTH ST
UNION, SC
29379-2838

Practice Phone: 864-427-1601
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1588614721 — JAN H POSTMA M.D.
Practice Location Address:

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1538221312 — DR. DORIAN L GOLDSTEIN MD
Practice Location Address:

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1265577910 — DR. HAROLD PAGAN HOPE JR. MD
Practice Location Address:

323 W SOUTH ST
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29379-2838

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1902043185 — EAR NOSE THROAT AND AUDIOLOGY ASSOCIATES
Practice Location Address:

327 W SOUTH ST
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1780823294 — UNION HOSPITAL DISTRICT
Practice Location Address:

323 W SOUTH ST
UNION, SC
29379-2838

Practice Phone: 864-427-6058
Practice Fax: 864-427-6059

Directions to “UNION HOSPITAL DISTRICT ” Practice Location

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