Organization
CAROLINA HEALTH CENTERS, INC.
Active
Other names
McCormick Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA Y GILMER (PRACTICE ADMINISTRATOR)
(864) 941-8121
Entity
Organization
Contact information
Practice address
1319 S MAIN ST, MC CORMICK, SC 29835-7928
(864) 852-3336
(864) 852-3339
Mailing address
219A NORTH MINE STREET, MCCORMICK, SC 29835
(864) 852-3336
(864) 852-3339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC002
—
SC
Enumeration date
03/14/2007
Last updated
06/07/2023
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