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Organization

PROVIDERS CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAQUITA S WHITE (NURSE PRACTITIONER)
(843) 616-7191
Entity
Organization

Contact information

Practice address
523 S DARGAN ST, FLORENCE, SC 29506-2549
(843) 616-7191
(843) 726-5504
Mailing address
222 PENSHURST DR, FLORENCE, SC 29506-4162
(843) 409-2770
(843) 726-5504

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
261Q00000X
Clinic/Center
261QC1500X
Community Health Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR1300X
Rural Health Clinic/Center
302R00000X
Health Maintenance Organization
363L00000X
Nurse Practitioner
363LC1500X
Community Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
Primary
385H00000X
Respite Care

Other

Enumeration date
10/20/2021
Last updated
02/03/2023
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