Organization
CAROLINA HEALTH CENTERS, INC.
Active
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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