Marion Medical Group PA
NPI #1396779856 in Marion, South Carolina
Provider Information
- NPI Number
- 1396779856
- Entity Type
- Organization
- Organization Name
- Marion Medical Group PA
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Aug 16, 2010
Practice Location
- Address
- 1115 N MAIN ST
- City
- Marion
- State
- South Carolina
- ZIP Code
- 29571-2025
- Phone
- (843) 423-0760
Authorized Official
- Name
- HAROLD E TUCKER
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (843) 431-2405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Clinic/Center - Rural Health — Rural Health |
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