Organization
CAROLINA HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA Y GILMER (PRACTICE ADMINISTRATOR)
(864) 396-0117
Entity
Organization
Contact information
Practice address
313 MAIN ST, GREENWOOD, SC 29646-2757
(864) 396-0117
(864) 388-0648
Mailing address
313 MAIN ST, GREENWOOD, SC 29646-2757
(864) 396-0117
(864) 388-0648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
12/18/2024
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