| Fetter Health Care Network-smoaks Middle School Migrant Camp Location | |
|
9063 Sunrise Rd Smoaks SC 29481 | |
| (843) 722-4112 | |
| (843) 577-8960 |
| Full Name | Fetter Health Care Network-smoaks Middle School Migrant Camp Location |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9063 Sunrise Rd, Smoaks, South Carolina |
| Authorized Official Name and Position | Aretha Jones (CEO) |
| Authorized Official Contact | 8437224112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fetter Health Care Network-smoaks Middle School Migrant Camp Location 51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112 | Fetter Health Care Network-smoaks Middle School Migrant Camp Location 9063 Sunrise Rd Smoaks SC 29481 Ph: (843) 722-4112 |
| NPI Number | 1992256689 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992256689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |