MEDICARE: THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES

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	2083X0100X	Occupational Medicine Physician

General Provider Information

NPI Number	:	1568891844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES

Provider Business Mailing Address
First Line	:	PO BOX 1245
Second Line	:
City	:	ORANGEBURG
State	:	SC
Zip	:	29116-1245
Country	:	US
Telephone Number	:	803-395-4497
Fax Number	:	803-395-2237

Provider Business Practice Location Address
First Line	:	1097B COOK RD
Second Line	:
City	:	ORANGEBURG
State	:	SC
Zip	:	29118-8209
Country	:	US
Telephone Number	:	803-395-4497
Fax Number	:	803-395-2237

Authorized Official
Title or Position	:	C.F.O.
Name	:	CHERYL S MASON
Credential	:
Telephone Number	:	803-395-2224

Provider Enumeration Date	:	11/06/2013
Last Update Date	:	11/06/2013

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