NPI Provider: 1427053081
Contact Name: Fahey Constance
Position: Executive Director
Phone: (843) 347-5500
Mercy Care Information:
Mercy Care organization have npi 1427053081, taxonomy code is 251G00000X with license number is HPC53 in . This Business address located in PO Box 50640, Myrtle Beach, SC 29579 South Carolina.
Practice Location
Address: 174 Waccamaw Medical Park Ct, Conway, SC 29526
Phone: (843) 347-5500
Business Location
Address: PO Box 50640, Myrtle Beach, SC 29579
Phone: (843) 347-5500
Fax: (843) 347-5535
Taxonomy
Taxonomy Code: 251G00000X
License Number: HPC53
License Number of State: SC
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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