Organization
FRANKLIN C. FETTER FAMILY HEALTH CENTER, INC.
Active
Other names
Rural Mission Migrant Site-Walterboro
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD A RAVENELL (CEO)
(843) 722-4112
Entity
Organization
Contact information
Practice address
14405 BELLS HWY, LODGE, SC 29082-9331
(843) 768-9518
Mailing address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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