| NPI | 1184159063 |
|---|---|
| Former Legal Business Name | CARESOUTH |
| Entity Type | Organization |
| Authorized Contact | CHRISTIE CULBREATH-DICKERSON CEO 803-686-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |