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Caresouth Carolina, Inc.

Organization Active NPI Nursing Care Agency · Cheraw, SC

NPI 1306378773 · NPPES record last updated Apr 3, 2017

Key facts

NPI
1306378773
Entity type
Organization (NPI type 2)
Primary specialty
Nursing Care Agency 251J00000X
License
20722 (SC)
Legal business name
CARESOUTH CAROLINA, INC.
Practice address
715 S Doctors Dr
Suite E
Cheraw, SC 29520-7113
Phone
(843) 537-0961
NPI assigned
Apr 3, 2017
Organization subpart
No

Authorized official

Name
Mrs. Tracy Johnson Teal, FNP-C
Title
Family Nurse Practitioner
Phone
(843) 921-2620

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Caresouth Carolina Inc (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 20722 SC Yes

Addresses

Primary practice location

715 S Doctors Dr
Suite E
Cheraw, SC 29520-7113

Mailing address

715 S Doctors Dr
Cheraw, SC 29520-7113
Phone (843) 921-2620

Other providers in Cheraw, SC

All providers in Cheraw, SC · Nursing Care Agency in South Carolina

Sources for this page

Verify at the official NPI Registry.