Organization
PRIMARY CARE OF UNION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA FOWLER NP (NURSE PRACTITIONER)
(864) 441-0802
Entity
Organization
Contact information
Practice address
327 W SOUTH ST, UNION, SC 29379
(864) 441-0802
(864) 441-0801
Mailing address
327 W SOUTH ST, UNION, SC 29379-2838
(864) 441-0802
(864) 441-0801
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC238
—
SC
Enumeration date
05/16/2018
Last updated
03/16/2021
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