institution
State Of South Carolina
Public Health or Welfare Agency in Lexington, South Carolina
NPI 1841375128

State Of South Carolina is a Public Health or Welfare Agency based in Columbia, SC. State Of South Carolina practices in Lexington, SC. The NPI Number for State Of South Carolina is 1841375128 and holds a License No. (South Carolina).

The current practice location address for State Of South Carolina is 1070-B South Lake Drive, Lexington, SC and can be reached out via phone at 803-785-6550 and via fax at 803-785-6556. You can also correspond with State Of South Carolina through the mailing address at 2600 BULL STREET, COLUMBIA, SC - 29201-1708 (mailing address contact number: 803-898-1164).

Location: 1070-B South Lake Drive, Lexington, SC, 29201-1708
institution
Provider Profile Details
NPI Number
1841375128
Provider Name
State Of South Carolina
Credential
Provider Entity Type
Organization
Address
1070-B South Lake Drive, Lexington, SC, 29201-1708
Phone Number
803-785-6550
Fax Number
803-785-6556
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
601236 01 SC SELECT HEALTH PROVIDER #
000000155823 01 SC UNISON HEALTH PLAN OF SC
DHEC32 05 SC
institution
Provider Business Practice Location Address Details
Address
1070-B South Lake Drive
City
State
Zip
29073
Phone Number
803-785-6550
Fax Number
803-785-6556
person
Provider Business Mailing Address Details
Address
2600 Bull Street
City
State
Zip
29201-1708
Phone Number
803-898-1164
Fax Number
803-898-2262
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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