Organization
GENESIS HEALTHCARE, INC
Active
Organization
GENESIS HEALTHCARE, INC
Active
Other names
Walterboro Family Care and Pediatrics, Walterboro Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
TONY MEGNA (CEO)
(803) 254-3676
Entity
Organization
Contact information
Practice address
830 ROBERTSON BLVD, WALTERBORO, SC 29488-3081
(843) 781-7428
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/08/2016
Last updated
11/06/2024
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