Organization
TRUE VINE HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN EMANUEL-MCCLAIN MPH (CEO)
(803) 974-9911
Entity
Organization
Contact information
Practice address
1773 VILLAGE PARK DR, ORANGEBURG, SC 29118-2475
(803) 535-3600
Mailing address
1773 VILLAGE PARK DR, ORANGEBURG, SC 29118-2475
(803) 974-9911
(803) 534-6300
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
07/10/2026
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