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NPI Code Detail

MEDICARE: FETTER HEALTH CARE NETWORK, INC.

MEDICARE: FETTER HEALTH CARE NETWORK, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0901XPublic Health & General Preventive Medicine Physician
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1275244766
Entity Type Code : Organization
Provider Name (Legal Business Name) : FETTER HEALTH CARE NETWORK, INC.
Provider Business Mailing Address
First Line : 51 NASSAU ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29403-5513
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 51 NASSAU ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29403-5513
Country : US
Telephone Number : 843-722-4132
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : ARETHA R JONES
Credential :
Telephone Number : 843-722-4112
Provider Enumeration Date : 12/06/2022
Last Update Date : 01/15/2026

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Directions to “FETTER HEALTH CARE NETWORK, INC. ” Practice Location

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