institution
State Of South Carolina
Public Health or Welfare Agency in Gaffney, South Carolina
NPI 1023191707

State Of South Carolina is a Public Health or Welfare Agency based in Columbia, SC. State Of South Carolina practices in Gaffney, SC. The NPI Number for State Of South Carolina is 1023191707 and holds a License No. (South Carolina).

The current practice location address for State Of South Carolina is 400 South Logan Street, Gaffney, SC and can be reached out via phone at 864-487-2705 and via fax at 864-487-2728.

Location: 400 South Logan Street, Gaffney, SC, 29201-2104
institution
Provider Profile Details
NPI Number
1023191707
Provider Name
State Of South Carolina
Credential
Provider Entity Type
Organization
Address
400 South Logan Street, Gaffney, SC, 29201-2104
Phone Number
864-487-2705
Fax Number
864-487-2728
Provider Enumeration Date
10/24/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
601247 01 SC SELECT HEALTH PROVIDER #
DHEC11 05 SC
000000155820 01 SC UNISON HEALTH PLAN OF SC
institution
Provider Business Practice Location Address Details
Address
400 South Logan Street
City
State
Zip
29341
Phone Number
864-487-2705
Fax Number
864-487-2728
person
Provider Business Mailing Address Details
Address
400 South Logan Street
City
State
Zip
29341
Phone Number
864-487-2705
Fax Number
864-487-2728
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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