BLACK RIVER HEALTHCARE, INC.
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1275566440- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 206 EAST MARKET STREET, TIMMONSVILLE, SC, 29161
- Phone
- (803) 433-1216
Specialties & Taxonomies
Registered Nurse
License: SC #79153
Pediatrics
License: SC #16299
General Practice
Clinic/Center, Rural Health
Family Medicine
Primary License: SC #27146