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Organization
CAROLINA HEALTH CENTERS, INC.
Active
Organization
CAROLINA HEALTH CENTERS, INC.
Active
Other names
The Children's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA Y GILMER (PRACTICE ADMINISTRATOR)
(864) 941-8121
Entity
Organization
Contact information
Practice address
113 LINER DR, GREENWOOD, SC 29646-2311
(864) 941-8170
(864) 388-1718
Mailing address
113 LINER DR, GREENWOOD, SC 29646-2311
(864) 941-8170
(864) 388-1718
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC051
—
SC
05
—
GP1632
—
SC
Enumeration date
03/14/2007
Last updated
06/21/2010
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