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Contact Information

FETTER HEALTH CARE NETWORK, INC
110 EXECUTIVE PKWY
MONCKS CORNER, SC29461-3930
 Phone: 843-761-7744
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for FETTER HEALTH CARE NETWORK INC · (Female)

NPI # 1932213378
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2006
Last updated 04/15/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid FQC049
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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