Regenesis Organization Community Health Center
NPI #1508400474 in Union, South Carolina
Provider Information
- NPI Number
- 1508400474
- Entity Type
- Organization
- Organization Name
- Regenesis Organization Community Health Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 4, 2019
- Last Updated
- Jan 7, 2020
Practice Location
- Address
- 115 THOMAS ST STE C
- City
- Union
- State
- South Carolina
- ZIP Code
- 29379-2147
- Phone
- (864) 582-2411
Authorized Official
- Name
- LOIS J MENKEN
- Title
- CREDENTIALING SPECIALIST
- Phone
- (864) 594-0175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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