BLACK RIVER HEALTHCARE, INC.
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1508809542- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 139 MAIN STREET, OLANTA, SC, 29114
- Phone
- (803) 433-1216
- Fax
- (803) 433-6796
Specialties & Taxonomies
Nurse Practitioner, Family
Internal Medicine
Clinic/Center, Rural Health
License: SC #27146
Family Medicine
Primary