Organization
FAMILY HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONDRE WILSON (CFO)
(803) 531-6900
Entity
Organization
Contact information
Practice address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-6907
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-6907
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3950
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3950
—
SC
Enumeration date
09/10/2007
Last updated
08/20/2024
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