Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Edisto Regional Health Services Inc

Organization Family Medicine Physician · NPI 1639475429

Edisto Regional Health Services Inc provides Family Medicine Physician services in Orangeburg, South Carolina. Licensed in South Carolina. Registered with an NPI since 2011.

Licensed in
SC
In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1619 Carolina Ave
Orangeburg, SC 29115-4939
Phone: (803) 531-7474
Fax: (803) 531-7457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X (SC)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1639475429
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEdisto Regional Health Services Inc
Authorized official Liza Porterfield — C F O · (803) 395-4458
Other names Rmc Primary Care Carolina Ave; Rmc Primary Care Edisto Practice
NPI enumeratedJanuary 27, 2011
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020
Mailing addressPo Box 1245, Orangeburg, SC 29116-1245

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