Organization
TANDEM HEALTH SC
Active
Other names
Sumter Family Health Center, Carolina Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE BROWN (CEO)
(803) 774-4545
Entity
Organization
Contact information
Practice address
12 BARNETTE DRIVE, SUMTER, SC 29150-8004
(803) 774-3600
(803) 774-4560
Mailing address
12 BARNETTE DRIVE, SUMTER, SC 29150-8004
(803) 774-3600
(803) 774-4560
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9008
—
SC
Enumeration date
04/20/2017
Last updated
04/23/2024
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