institution
South Carolina Department Of Corrections
General Practice Physician in Columbia, South Carolina
NPI 1104259340

South Carolina Department Of Corrections is a General Practice Physician based in Columbia, SC. South Carolina Department Of Corrections practices in Columbia, SC. The NPI Number for South Carolina Department Of Corrections is 1104259340 and holds a License No. 33514 (South Carolina).

The current practice location address for South Carolina Department Of Corrections is 4444 Broad River Rd, Columbia, SC and can be reached out via phone at 803-896-2707. You can also correspond with South Carolina Department Of Corrections through the mailing address at 4444 BROAD RIVER RD, COLUMBIA, SC - 29210-4012 (mailing address contact number: 803-896-2707).

Location: 4444 Broad River Rd, Columbia, SC, 29210-4012
institution
Provider Profile Details
NPI Number
1104259340
Provider Name
South Carolina Department Of Corrections
Credential
Provider Entity Type
Organization
Address
4444 Broad River Rd, Columbia, SC, 29210-4012
Phone Number
803-896-2707
Fax Number
Provider Enumeration Date
08/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4444 Broad River Rd
City
State
Zip
29210-4012
Phone Number
803-896-2707
Fax Number
person
Provider Business Mailing Address Details
Address
4444 Broad River Rd
City
State
Zip
29210-4012
Phone Number
803-896-2707
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
33514 (South Carolina)
Definition
Definition to come...
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