Healthcare Provider Details

I. General information

NPI: 1982503579
Provider Name (Legal Business Name): CAROLINA HEALTH CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2026
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22545 HIGHWAY 76 E STE A
LAURENS SC
29360-8439
US

IV. Provider business mailing address

313 MAIN ST STE B
GREENWOOD SC
29646-2757
US

V. Phone/Fax

Practice location:
  • Phone: 864-547-8301
  • Fax: 864-547-8302
Mailing address:
  • Phone: 864-330-8240
  • Fax: 864-943-1120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LISA Y GILMER
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 864-941-8121