Fetter Health Care Network, INC

NPI #1932213378 in Moncks Corner, South Carolina

Provider Information

NPI Number: 1932213378
Entity Type: Organization
Organization Name: Fetter Health Care Network, INC
Primary Specialty: Pediatrics
Enumeration Date: Aug 19, 2006
Last Updated: Apr 15, 2015

Practice Location

Address: 110 EXECUTIVE PKWY
City: Moncks Corner
State: South Carolina
ZIP Code: 29461-3930
Phone: (843) 761-7744

Authorized Official

Name: MR. REUBEN J PETTIFORD
Title: CEO
Phone: (843) 722-4112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Pediatrics	208000000X	Primary

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Christine Canivan, MD	Pediatrics	Moncks Corner	AI Deep Dive
DR. Joseph Carlisle Moore JR., M.D.	Pediatrics	Moncks Corner	AI Deep Dive
DR. Thomas B. Gue, M.D.	Pediatrics	Orangeburg	AI Deep Dive
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Nurturing Wonders	Pediatrics	Moncks Corner	AI Deep Dive

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