Healthcare Provider Details

I. General information

NPI: 1649650375
Provider Name (Legal Business Name): FAMILY HEALTH CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2015
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5616 CAROLINA HWY
DENMARK SC
29042-2240
US

IV. Provider business mailing address

3310 MAGNOLIA ST
ORANGEBURG SC
29115-1466
US

V. Phone/Fax

Practice location:
  • Phone: 803-793-4282
  • Fax:
Mailing address:
  • Phone: 803-531-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number StateSC

VIII. Authorized Official

Name: DR. STAN WARDLAW
Title or Position: CEO
Credential:
Phone: 803-531-6900