Organization
FAMILY HEALTH CENTERS INC.
Active
Other names
Family Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON A. BRUNSON SR. CEO (CHIEF EXECUTIVE OFFICER)
(803) 531-6900
Entity
Organization
Contact information
Practice address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-8988
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-8988
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
005593
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005593
STATE LIC. NUMBER
SC
Enumeration date
12/02/2013
Last updated
12/02/2013
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