Provider Demographics
NPI:1679704043
Name:CAROLINA COMMUNITY MATERNITY CENTER
Entity Type:Organization
Organization Name:CAROLINA COMMUNITY MATERNITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:803-802-9494
Mailing Address - Street 1:2848 PLEASANT RD STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-9215
Mailing Address - Country:US
Mailing Address - Phone:803-802-9494
Mailing Address - Fax:
Practice Address - Street 1:2848 PLEASANT RD
Practice Address - Street 2:STE 101
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708
Practice Address - Country:US
Practice Address - Phone:803-802-9494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing