Organization
CARESOUTH CAROLINA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN M LEWIS (CEO)
(843) 857-0111
Entity
Organization
Contact information
Practice address
1076 MARLBORO WAY STE 1, BENNETTSVILLE, SC 29512-2495
(843) 454-2294
Mailing address
1076 MARLBORO WAY STE 1, BENNETTSVILLE, SC 29512-2495
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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