Organization
CAROLINA BIRTH CENTER
Active
Other names
CAROLINA WATERBIRTH
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA GLENN (OWNER)
(864) 329-0010
Entity
Organization
Contact information
Practice address
915 SOUTH ST STE J, SIMPSONVILLE, SC 29681-3210
(864) 329-0010
(864) 228-2221
Mailing address
915 SOUTH ST STE J, SIMPSONVILLE, SC 29681-3210
(864) 329-0010
(864) 228-2221
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LMW009
—
SC
Enumeration date
03/02/2011
Last updated
03/02/2011
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