NPI | 1841548229 |
---|---|
Doing Business As | LAURENS COMMUNITY CARE MEDICAL HOME REFERRAL CENTER |
Entity Type | Organization |
Authorized Contact | LISA Y GILMER Practice Administrator 864-941-8121 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
Enumeration Date | 2012-08-16 |
Last Update Date | 2012-08-16 |