Organization
CARESOUTH CAROLINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN M LEWIS (CEO)
(843) 857-0111
Entity
Organization
Contact information
Practice address
101 HARRIS ST, BISHOPVILLE, SC 29010-1601
(803) 588-7940
(803) 588-7945
Mailing address
101 HARRIS ST, BISHOPVILLE, SC 29010-1601
(803) 588-7940
(803) 588-7945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
06/11/2019
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