institution
State Of South Carolina
Public Health or Welfare Agency in Moncks Corner, South Carolina
NPI 1144310152

State Of South Carolina is a Public Health or Welfare Agency based in Columbia, SC. State Of South Carolina practices in Moncks Corner, SC. The NPI Number for State Of South Carolina is 1144310152 and holds a License No. (South Carolina).

The current practice location address for State Of South Carolina is 109 West Main Street, Moncks Corner, SC and can be reached out via phone at 843-719-4600 and via fax at 843-719-4656.

Location: 109 West Main Street, Moncks Corner, SC, 29201-2104
institution
Provider Profile Details
NPI Number
1144310152
Provider Name
State Of South Carolina
Credential
Provider Entity Type
Organization
Address
109 West Main Street, Moncks Corner, SC, 29201-2104
Phone Number
843-719-4600
Fax Number
843-719-4656
Provider Enumeration Date
10/13/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DHEC08 05 SC
601233 01 SC SELECT HEALTH PROVIDER #
000000155828 01 SC UNISON HEALTH PLAN OF SC
institution
Provider Business Practice Location Address Details
Address
109 West Main Street
City
State
Zip
29461
Phone Number
843-719-4600
Fax Number
843-719-4656
person
Provider Business Mailing Address Details
Address
109 West Main Street
City
State
Zip
29461
Phone Number
843-719-4600
Fax Number
843-719-4656
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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