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4368 Betsy Kerrison Pkwy Johns Island SC 29455-7116 | |
(843) 722-4112 | |
(843) 577-8960 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4368 Betsy Kerrison Pkwy, Johns Island, South Carolina |
Authorized Official Name and Position | Aretha Jones (CEO) |
Authorized Official Contact | 8437224122 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112 | 4368 Betsy Kerrison Pkwy Johns Island SC 29455-7116 Ph: (843) 722-4112 |
NPI Number | 1659822344 |
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Provider Enumeration Date | 10/18/2016 |
Last Update Date | 10/18/2016 |
Identifier | Type | State | Issuer |
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1659822344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
South Carolina Integrative Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Crowne Commons Way Ste F8, Johns Island, SC 29455 Phone: 843-806-9402 | |