NPI | 1154855773 |
---|---|
Former Legal Business Name | SUMTER FAMILY HEALTH CENTER |
Doing Business As | CAROLINA DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ANNIE BROWN CEO 803-774-4545 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-04-20 |
Last Update Date | 2024-04-23 |