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Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Parent organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Other names
Highway to Hope Tri-County Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Authorized official
TRACY L TURNER (CONROLLER)
(803) 898-8503
Entity
Organization
Contact information
Practice address
1035 CHERAW ST, BENNETTSVILLE, SC 29512-2422
(843) 454-0442
Mailing address
1035 CHERAW ST, BENNETTSVILLE, SC 29512-2422
(843) 454-0442
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
11/06/2020
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