Organization
FAMILY HEALTH CENTERS, INC. AT COOK ROAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA STEPHENS (DIRECTOR OF CLINICAL SERVICES)
(803) 531-6900
Entity
Organization
Contact information
Practice address
1175 COOK RD, MEDICAL ARTS CENTER, SUITE 305, ORANGEBURG, SC 29118-8201
(803) 536-9394
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-6907
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7054
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070540
—
SC
Enumeration date
06/05/2009
Last updated
06/05/2009
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