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
1016 OLD LATTA HWY, DILLON, SC 29536-2557
(843) 774-4337
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/06/2013
Last updated
06/09/2022
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