institution
State Of South Carolina
Public Health or Welfare Agency in Bennettsville, South Carolina
NPI 1184793929

State Of South Carolina is a Public Health or Welfare Agency based in Columbia, SC. State Of South Carolina practices in Bennettsville, SC. The NPI Number for State Of South Carolina is 1184793929 and holds a License No. (South Carolina).

The current practice location address for State Of South Carolina is 711 Parsonage Street Extension, Bennettsville, SC and can be reached out via phone at 843-479-6801 and via fax at 843-479-9658.

Location: 711 Parsonage Street Extension, Bennettsville, SC, 29201-2104
institution
Provider Profile Details
NPI Number
1184793929
Provider Name
State Of South Carolina
Credential
Provider Entity Type
Organization
Address
711 Parsonage Street Extension, Bennettsville, SC, 29201-2104
Phone Number
843-479-6801
Fax Number
843-479-9658
Provider Enumeration Date
11/07/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000155825 01 SC UNISON HEALTH PLAN OF SC
DHEC35 05 SC
601240 01 SC SELECT HEALTH PROVIDER #
institution
Provider Business Practice Location Address Details
Address
711 Parsonage Street Extension
City
State
Zip
29512
Phone Number
843-479-6801
Fax Number
843-479-9658
person
Provider Business Mailing Address Details
Address
711 Parsonage Street Extension
City
State
Zip
29512
Phone Number
843-479-6801
Fax Number
843-479-9658
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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