NPI | 1003827304 |
---|---|
Doing Business As | FETTER HEALTH CARE NETWORK-DOWNTOWN SITE |
Entity Type | Organization |
Authorized Contact | ARETHA R JONES CEO 843-722-4112 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-08-11 |
Last Update Date | 2023-11-21 |