Organization
CARESOUTH CAROLINA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN LEWIS (CEO)
(843) 857-0111
Entity
Organization
Contact information
Practice address
120 COMMONS DRIVE, CHESTERFIELD, SC 29709
(843) 623-2970
(843) 623-7112
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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