Organization
CARETEAM PLUS, INC.
Active
Other names
Careteam Plus-Mobile Unit #1
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA L HAYNES CEO (CEO)
(843) 234-8220
Entity
Organization
Contact information
Practice address
100 PROFESSIONAL PARK DR, CONWAY, SC 29526-9260
(843) 234-0005
Mailing address
100 PROFESSIONAL PARK DR, CONWAY, SC 29526-9260
(843) 234-0005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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