Organization
CAROLINA HEALTH CENTERS, INC.
Active
Other names
Laurens Community Care Medical Home Referral Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA Y GILMER (PRACTICE ADMINISTRATOR)
(864) 941-8121
Entity
Organization
Contact information
Practice address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 388-0301
Mailing address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 388-0301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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