| |
1076 Marlboro Way Ste 3 Bennettsville SC 29512-2495 | |
(843) 479-0432 | |
(843) 479-1261 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1076 Marlboro Way, Bennettsville, South Carolina |
Authorized Official Name and Position | Laurie Holtsford (AUTH OFFICIAL/DIR BUSINESS OFFICE) |
Authorized Official Contact | 6154657466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1076 Marlboro Way Ste 3 Bennettsville SC 29512-2495 Ph: (843) 479-0432 | 1076 Marlboro Way Ste 3 Bennettsville SC 29512-2495 Ph: (843) 479-0432 |
NPI Number | 1689980468 |
---|---|
Provider Enumeration Date | 08/31/2010 |
Last Update Date | 08/31/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689980468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Caresouth Carolina, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 Cheraw St, Bennettsville, SC 29512 Phone: 843-479-2341 | |