Organization
CAROLINA HEALTH CENTERS, INC.
Active
Organization
CAROLINA HEALTH CENTERS, INC.
Active
Other names
Ridge Spring Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA Y GILMER (PRACTICE ADMINISTRATOR)
(864) 941-8121
Entity
Organization
Contact information
Practice address
201 AIKEN RD., RIDGE SPRING, SC 29129
(803) 685-3100
(803) 685-5831
Mailing address
PO BOX 128, RIDGE SPRING, SC 29129
(803) 685-3100
(803) 685-5831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC020
—
SC
Enumeration date
05/02/2006
Last updated
06/21/2010
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