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Organization

CAROLINA BIRTH CENTER

Active
Other names
Carolina WaterBirth
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA GLENN (OWNER)
(864) 329-0010
Entity
Organization

Contact information

Practice address
915 SOUTH ST STE J, SIMPSONVILLE, SC 29681-3210
(864) 329-0010
Mailing address
915 SOUTH ST STE J, SIMPSONVILLE, SC 29681-3210

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
BC-005
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LMW009
SC
Enumeration date
08/08/2006
Last updated
02/26/2010
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