SOUTH CAROLINA DEPARTMENT OF CORRECTIONS is a general practice in Columbia, SC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee SOUTH CAROLINA DEPARTMENT OF CORRECTIONS NPI is 1104259340. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4444 BROAD RIVER RD
COLUMBIA, SC
ZIP 29210-012
Phone: (803) 896-2707
The provider's authorized official is John Branham Tomarchio .
The authorized official title is Medical Director and has the following contact phone number (803) 896-1233.
The CLIA number assigned to this NPI record is 42D0702926 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 8/12/2013 and was last updated on 8/12/2013.