# COMPASSIONATE CARE OF HARTSVILLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063173458
- **Authorized official:** KELLEY MARIE MOODY NP-C (OWNER)
- **Authorized official phone:** (843) 951-9990

## Contact information

- **Practice address:** 750 W CAROLINA AVE, HARTSVILLE, SC 29550-4412
- **Practice address phone:** (843) 951-9990
- **Practice address fax:** (843) 951-9989
- **Mailing address:** 750 W CAROLINA AVE, HARTSVILLE, SC 29550-4412
- **Mailing address phone:** (843) 951-9990
- **Mailing address fax:** (843) 951-9989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2022
- **Last updated:** 01/07/2022