Organization
FETTER HEALTH CARE NETWORK INC
Active
Other names
Fetter Health Care Network-Ambrose Migrant Camp Location
Organization subpart
No
Provider details
NPI number
Authorized official
ARETHA JONES (CREDENTIALING COORDINATOR)
(843) 722-4122
Entity
Organization
Contact information
Practice address
2349 BLACK POND LANE, WADMALAW ISLAND, SC 29487
(843) 722-4112
(843) 577-8960
Mailing address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
(843) 577-8960
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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