Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY MATHIS (STAFFING MANAGER)
(866) 571-2700
Entity
Organization
Contact information
Practice address
106 PARKVIEW DR, LAURENS, SC 29360-2652
(864) 681-2955
Mailing address
3462 HIGHWAY 418, FOUNTAIN INN, SC 29644-4829
(864) 640-9294
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
6957
SC
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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