| Fetter Mobile Medical Unit 2 | |
|
51 Nassau St Charleston SC 29403-5513 | |
| (864) 722-4112 | |
| (843) 577-9550 |
| Full Name | Fetter Mobile Medical Unit 2 |
|---|---|
| Speciality | Clinic/center |
| Location | 51 Nassau St, Charleston, South Carolina |
| Authorized Official Name and Position | Aretha R Jones (CEO) |
| Authorized Official Contact | 8437224112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fetter Mobile Medical Unit 2 51 Nassau St Charleston SC 29403-5513 Ph: (864) 722-4112 | Fetter Mobile Medical Unit 2 51 Nassau St Charleston SC 29403-5513 Ph: (864) 722-4112 |
| NPI Number | 1720672009 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720672009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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