Organization
FETTER HEALTH CARE NETWORK INC
Active
Other names
Fetter Health Care Network-Johns Island Site
Organization subpart
No
Provider details
NPI number
Authorized official
ARETHA JONES (CEO)
(843) 722-4112
Entity
Organization
Contact information
Practice address
3627 MAYBANK HWY, JOHNS ISLAND, SC 29455-4825
(843) 628-0284
(843) 559-9912
Mailing address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
(843) 577-8960
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC182
—
SC
Enumeration date
08/20/2014
Last updated
10/18/2016
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