STATE OF SOUTH CAROLINA NPI 1902968316

NPI Information

STATE OF SOUTH CAROLINA is a public health or welfare in Florence, SC. STATE OF SOUTH CAROLINA NPI is 1902968316. The provider is registered as an organization entity type.
The provider Is Doing Business As Pee Dee Crs.

The provider's business location address is:

145 E CHEVES ST
FLORENCE, SC
ZIP 29506-526
Phone: (843) 661-4835

The provider's authorized official is Betty H Garren .
The authorized official title is Director, Third Party Administratio and has the following contact phone number (803) 898-3720.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 5/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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