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108a E Main St Latta SC 29565-1617 | |
(843) 752-1234 | |
(843) 752-1108 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 108a E Main St, Latta, South Carolina |
Authorized Official Name and Position | Debbie Brewer (DIRECTOR) |
Authorized Official Contact | 8778929813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 689022 Franklin TN 37068-9022 Ph: (877) 309-5310 | 108a E Main St Latta SC 29565-1617 Ph: (843) 752-1234 |
NPI Number | 1154621829 |
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Provider Enumeration Date | 10/28/2010 |
Last Update Date | 12/19/2011 |
Identifier | Type | State | Issuer |
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1154621829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (South Carolina) | Primary |
Caresouth Carolina Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Latimer St, Latta, SC 29565 Phone: 843-857-0111 |