FRANKLIN C. FETTER FAMILY HEALTH CENTER INC NPI 1518246966

NPI Information

FRANKLIN C. FETTER FAMILY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Johns Island, SC. FRANKLIN C. FETTER FAMILY HEALTH CENTER, INC NPI is 1518246966. The provider is registered as an organization entity type.
The provider Is Doing Business As Rural Mission Migrant Site-johns Island.

The provider's business location address is:

3429 CAMP CARE RD
JOHNS ISLAND, SC
ZIP 29455-131
Phone: (843) 768-1720

The provider's authorized official is Ronald A Ravenell .
The authorized official title is Ceo and has the following contact phone number (843) 722-4112.

The CLIA number assigned to this NPI record is 42D1086619 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/16/2011 and was last updated on 9/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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