Organization
CARESOUTH CAROLINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY JOHNSON TEAL FNP-C (FAMILY NURSE PRACTITIONER)
(843) 921-2620
Entity
Organization
Contact information
Practice address
715 S DOCTORS DR, SUITE E, CHERAW, SC 29520-7113
(843) 537-0961
Mailing address
715 S DOCTORS DR, CHERAW, SC 29520-7113
(843) 921-2620
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
20722
SC
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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