Organization
FAMILY HEALTH CENTERS, INC.
Active
Other names
Norfield Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON A BRUNSON SR. (CHIEF EXECUTIVE OFFICER)
(803) 531-6900
Entity
Organization
Contact information
Practice address
7061 NORWAY RD, NEESES, SC 29107-9021
(803) 531-6900
(803) 531-6907
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-6907
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421806
MEDICARE PTAN
SC
Enumeration date
02/25/2013
Last updated
02/25/2013
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