Organization Name: | SINGLETON HEALTH CENTER, LLC |
NPI Number: | 1457303851 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MONNIE SINGLETON (PRESIDENT AND CEO) |
Mailing Address: | 119 Boltin Ave North |
State: | SC US |
Postal Code: | 291128131 |
Phone Number: | 8032473900 |
Fax Number: | 8032473930 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 04/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 14294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |