Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Parent organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Other names
Highway to Hope Tri-County Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Authorized official
TRACY L TURNER (CONROLLER)
(803) 898-8503
Entity
Organization
Contact information
Practice address
1035 CHERAW ST, BENNETTSVILLE, SC 29512-2422
(843) 454-0442
Mailing address
1035 CHERAW ST, BENNETTSVILLE, SC 29512-2422
(843) 454-0442
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
11/06/2020
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