| Careteam Plus-mobile Unit #2 | |
|
100 Professional Park Dr Conway SC 29526-9260 | |
| (843) 234-0005 | |
| Not Available |
| Full Name | Careteam Plus-mobile Unit #2 |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 100 Professional Park Dr, Conway, South Carolina |
| Authorized Official Name and Position | Johanna L Haynes (CEO) |
| Authorized Official Contact | 8432348220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Careteam Plus-mobile Unit #2 100 Professional Park Dr Conway SC 29526-9260 Ph: (843) 234-0005 | Careteam Plus-mobile Unit #2 100 Professional Park Dr Conway SC 29526-9260 Ph: (843) 234-0005 |
| NPI Number | 1013727940 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013727940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 208000000X | Pediatrics | () | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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