Provider Demographics
NPI:1386686517
Name:MARION COUNTY WOMEN'S CARE
Entity Type:Organization
Organization Name:MARION COUNTY WOMEN'S CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD,FACOG
Authorized Official - Phone:843-423-3800
Mailing Address - Street 1:1324 NORTH MAIN STREET
Mailing Address - Street 2:PO BOX 250
Mailing Address - City:MARION
Mailing Address - State:SC
Mailing Address - Zip Code:29571-0250
Mailing Address - Country:US
Mailing Address - Phone:843-423-3800
Mailing Address - Fax:843-423-3224
Practice Address - Street 1:1324 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571-0250
Practice Address - Country:US
Practice Address - Phone:843-423-3800
Practice Address - Fax:843-423-3224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty