Franklin C. Fetter Family Health Center, Inc.

NPI #1760770994 in Lodge, South Carolina

Provider Information

NPI Number
1760770994
Entity Type
Organization
Organization Name
Franklin C. Fetter Family Health Center, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 21, 2011
Last Updated
Jul 21, 2011

Practice Location

Address
14405 BELLS HWY
City
Lodge
ZIP Code
29082-9331
Phone
(843) 768-9518

Authorized Official

Name
MR. RONALD A RAVENELL
Title
CEO
Phone
(843) 722-4112

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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