| Caresouth Carolina, Inc. | |
|
101 Harris St Bishopville SC 29010-1601 | |
| (803) 588-7940 | |
| (803) 588-7945 |
| Full Name | Caresouth Carolina, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 101 Harris St, Bishopville, South Carolina |
| Authorized Official Name and Position | Ann M Lewis (CEO) |
| Authorized Official Contact | 8438570111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caresouth Carolina, Inc. 101 Harris St Bishopville SC 29010-1601 Ph: (803) 588-7940 | Caresouth Carolina, Inc. 101 Harris St Bishopville SC 29010-1601 Ph: (803) 588-7940 |
| NPI Number | 1124580865 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124580865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Map - Bishopville, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Harris St, Bishopville, SC 29010 Phone: 803-484-6041 Fax: 803-484-6041 | |
Forest L. Evans, D.d.s., P. A. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Harris St., Box 531, Bishopville, SC 29010 Phone: 803-484-6041 Fax: 803-484-6514 |