Organization
CAROLINA HEALTH CENTERS
Active
Other names
Carolina Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA Y GILMER (PRACTICE ADMINISTRATOR)
(864) 396-0117
Entity
Organization
Contact information
Practice address
219B NORTH MINE STREET, MCCORMICK, SC 29835
(864) 852-2571
(864) 852-2674
Mailing address
313 MAIN ST, GREENWOOD, SC 29646-2757
(864) 852-2571
(864) 852-2674
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457941
—
SC
Enumeration date
03/14/2007
Last updated
08/22/2020
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