Organization
FAMILY HEALTH CENTERS VILLAGE PARK DRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAN WARDLAW (CEO)
(803) 531-6900
Entity
Organization
Contact information
Practice address
1760 VILLAGE PARK DR, ORANGEBURG, SC 29118-2457
(803) 531-6900
Mailing address
1760 VILLAGE PARK DR, ORANGEBURG, SC 29118-2457
(803) 531-6900
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
01/15/2025
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