Carolina Health Centers, Inc.

NPI #1770616013 in Waterloo, South Carolina

Provider Information

NPI Number: 1770616013
Entity Type: Organization
Organization Name: Carolina Health Centers, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Mar 14, 2007
Last Updated: Jun 21, 2010

Practice Location

Address: 17124 HIGHWAY 72 W
City: Waterloo
State: South Carolina
ZIP Code: 29384-5144
Phone: (864) 819-4900

Authorized Official

Name: MRS. LISA Y GILMER
Title: PRACTICE ADMINISTRATOR
Phone: (864) 941-8121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Family Medicine	207Q00000X	Primary

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