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Caresouth Carolina Inc
Federally Qualified Health Center (FQHC) in Latta, South Carolina
NPI 1972980621

Caresouth Carolina Inc is a Federally Qualified Health Center (FQHC) based in Latta, SC and is specialized in Federally Qualified Health Center (FQHC). Caresouth Carolina Inc practices in Latta, SC. The NPI Number for Caresouth Carolina Inc is 1972980621 and holds a License No. (South Carolina).

The current practice location address for Caresouth Carolina Inc is 122 Latimer St, Latta, SC and can be reached out via phone at 843-857-0111.

Location: 122 Latimer St, Latta, SC, 29565-1828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972980621
Provider Name
Caresouth Carolina Inc
Credential
Provider Entity Type
Organization
Address
122 Latimer St, Latta, SC, 29565-1828
Phone Number
843-857-0111
Fax Number
Provider Enumeration Date
05/01/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FQC197 05 SC
institution
Provider Business Practice Location Address Details
Address
122 Latimer St
City
Latta
State
South Carolina
Zip
29565-1828
Phone Number
843-857-0111
Fax Number
person
Provider Business Mailing Address Details
Address
122 Latimer St
City
Latta
State
South Carolina
Zip
29565-1828
Phone Number
843-857-0111
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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