| Regenesis Organization Community Health Center | |
|
115 Thomas St Ste C Union SC 29379-2147 | |
| (864) 582-2411 | |
| (864) 256-4336 |
| Full Name | Regenesis Organization Community Health Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 Thomas St Ste C, Union, South Carolina |
| Authorized Official Name and Position | Lois J Menken (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8645940175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenesis Organization Community Health Center Po Box 5158 Spartanburg SC 29304-5158 Ph: (864) 582-2411 | Regenesis Organization Community Health Center 115 Thomas St Ste C Union SC 29379-2147 Ph: (864) 582-2411 |
| NPI Number | 1508400474 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 01/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508400474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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