Healthcare Provider Details
I. General information
NPI: 1861971749
Provider Name (Legal Business Name): FETTER HEALTH CARE NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2018
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
130 VARNFIELD DR STE 100
SUMMERVILLE SC
29483-7317
US
IV. Provider business mailing address
51 NASSAU ST
CHARLESTON SC
29403-5513
US
V. Phone/Fax
- Phone: 843-821-3444
- Fax:
- Phone: 843-722-4112
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0002X |
| Taxonomy | Clinic Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARETHA
R
JONES
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 843-722-4112