| Southern Creative Care | |
|
110 Ellison St Bennettsville SC 29512-3708 | |
| (910) 630-4247 | |
| Not Available |
| Full Name | Southern Creative Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 Ellison St, Bennettsville, South Carolina |
| Authorized Official Name and Position | Barbara Houchens (CEO) |
| Authorized Official Contact | 9106304247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Creative Care 1088 Glen Reilly Dr Fayetteville NC 28314-5623 Ph: (910) 630-4247 | Southern Creative Care 110 Ellison St Bennettsville SC 29512-3708 Ph: (910) 630-4247 |
| NPI Number | 1861977308 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 10/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861977308 | NPI | - | NPPES |
| GP7407 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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