Healthcare Provider Details

I. General information

NPI: 1821599937
Provider Name (Legal Business Name): FETTER HEALTH CARE NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1681 OLD HIGHWAY 6
CROSS SC
29436-3602
US

IV. Provider business mailing address

1681 OLD HIGHWAY 6
CROSS SC
29436-3602
US

V. Phone/Fax

Practice location:
  • Phone: 843-720-5655
  • Fax: 843-853-2966
Mailing address:
  • Phone: 843-753-2334
  • Fax: 843-853-2966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number17811
License Number StateSC

VIII. Authorized Official

Name: ARETHA R JONES
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 843-722-4112