institution
State Of South Carolina
Public Health or Welfare Agency in Chester, South Carolina
NPI 1821171539

State Of South Carolina is a Public Health or Welfare Agency based in Columbia, SC. State Of South Carolina practices in Chester, SC. The NPI Number for State Of South Carolina is 1821171539 and holds a License No. (South Carolina).

The current practice location address for State Of South Carolina is 129 Wylie Street, Chester, SC and can be reached out via phone at 803-385-6152 and via fax at 803-581-3815.

Location: 129 Wylie Street, Chester, SC, 29201-2104
institution
Provider Profile Details
NPI Number
1821171539
Provider Name
State Of South Carolina
Credential
Provider Entity Type
Organization
Address
129 Wylie Street, Chester, SC, 29201-2104
Phone Number
803-385-6152
Fax Number
803-581-3815
Provider Enumeration Date
10/24/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DHEC12 05 SC
601232 01 SC SELECT HEALTH PROVIDER #
000000155821 01 SC UNISON HEALTH PLAN OF SC
institution
Provider Business Practice Location Address Details
Address
129 Wylie Street
City
State
Zip
29706
Phone Number
803-385-6152
Fax Number
803-581-3815
person
Provider Business Mailing Address Details
Address
129 Wylie Street
City
State
Zip
29706
Phone Number
803-385-6152
Fax Number
803-581-3815
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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