| Fetter Health Care Network -white Camp Mirgrant Location | |
|
7555 Sc Hwy 162 Hollywood SC 29449-6144 | |
| (843) 722-4112 | |
| (843) 577-8960 |
| Full Name | Fetter Health Care Network -white Camp Mirgrant Location |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 7555 Sc Hwy 162, Hollywood, 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 -white Camp Mirgrant Location 51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112 | Fetter Health Care Network -white Camp Mirgrant Location 7555 Sc Hwy 162 Hollywood SC 29449-6144 Ph: (843) 722-4112 |
| NPI Number | 1750832341 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750832341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Fetter Health Care Network-hollywood Site Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5225 Highway 165, Hollywood, SC 29449 Phone: 843-889-2272 Fax: 843-889-2274 | |
Fetter Health Care Network-hollywood Site Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Highway 165, Hollywood, SC 29449 Phone: 843-889-2272 Fax: 843-889-2274 | |
Minnie Hughes Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8548 Willtown Rd, Hollywood, SC 29449 Phone: 843-723-9582 Fax: 843-723-7011 | |
Baptist Hill Middle High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5117 Baptist Hill Rd, Hollywood, SC 29449 Phone: 843-723-9582 Fax: 843-723-7011 | |
Renovo Medical Consulting Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4770 Stono Links Dr, Hollywood, SC 29449 Phone: 615-714-6035 | |
St Pauls Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7610 Highway 164, Hollywood, SC 29449 Phone: 843-889-8018 Fax: 843-889-9133 |