Bamberg Job Corp.

NPI #1386997591 in Bamberg, South Carolina

Provider Information

NPI Number
1386997591
Entity Type
Organization
Organization Name
Bamberg Job Corp.
Subpart
Yes (part of a larger organization)
Parent Organization
FAMILY HEALTH CENTERS, INC.
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 25, 2012
Last Updated
Oct 25, 2012

Practice Location

Address
19 JOB CORPS AVE
ZIP Code
29003-1606
Phone
(803) 245-5101

Authorized Official

Name
MR. LEON A BRUNSON SR.
Title
CEO
Phone
(803) 531-6900

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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