| Partners For Change Of The Carolinas | |
|
110 South Washington Street Sumter SC 29150 | |
| (803) 360-7896 | |
| (803) 888-2648 |
| Full Name | Partners For Change Of The Carolinas |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 110 South Washington Street, Sumter, South Carolina |
| Authorized Official Name and Position | Valencia Giselle Gray-williams (DIRECTOR) |
| Authorized Official Contact | 8033607896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners For Change Of The Carolinas 110 South Washington Street Sumter SC 29150 Ph: (803) 360-7896 | Partners For Change Of The Carolinas 110 South Washington Street Sumter SC 29150 Ph: (803) 360-7896 |
| NPI Number | 1356786750 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356786750 | NPI | - | NPPES |
| PENDING | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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