institution
State Of South Carolina
Public Health or Welfare Agency in Edgefield, South Carolina
NPI 1619051893

State Of South Carolina is a Public Health or Welfare Agency based in Columbia, SC. State Of South Carolina practices in Edgefield, SC. The NPI Number for State Of South Carolina is 1619051893 and holds a License No. (South Carolina).

The current practice location address for State Of South Carolina is 21 Star Road, Edgefield, SC and can be reached out via phone at 803-637-4035 and via fax at 803-637-4039.

Location: 21 Star Road, Edgefield, SC, 29201-2104
institution
Provider Profile Details
NPI Number
1619051893
Provider Name
State Of South Carolina
Credential
Provider Entity Type
Organization
Address
21 Star Road, Edgefield, SC, 29201-2104
Phone Number
803-637-4035
Fax Number
803-637-4039
Provider Enumeration Date
10/25/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DHEC19 05 SC
000000155822 01 SC UNISON HEALTH PLAN OF SC
601246 01 SC SELECT HEALTH PROVIDER #
institution
Provider Business Practice Location Address Details
Address
21 Star Road
City
State
Zip
29824
Phone Number
803-637-4035
Fax Number
803-637-4039
person
Provider Business Mailing Address Details
Address
21 Star Road
City
State
Zip
29824
Phone Number
803-637-4035
Fax Number
803-637-4039
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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