Organization · Type 2 NPI
Caresouth Carolina Inc
Federally Qualified Health Center (FQHC) · Bennettsville, SC
NPI number
1639458672
Active
Practice location
210 W Main St
Bennettsville, SC 29512-3122
Fax (843) 479-1230
Mailing address
PO Box 1090
Hartsville, SC 29551-1090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
Other federally qualified health center (fqhc) providers in Bennettsville
About NPI 1639458672
Caresouth Carolina Inc's National Provider Identifier is 1639458672, issued on Aug 9, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bennettsville, SC. The record was last updated on Mar 21, 2012.