Organization · Type 2 NPI

State of South Carolina

Public Health or Welfare Agency · Greenwood, SC

NPI number 1033295035 Active

Practice location

1736 South Main Street
Greenwood, SC 29646

Fax (864) 942-3690

Mailing address

400 Otarre Pkwy
Cayce, SC 29033-3751

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

Public Health or Welfare Agency: Definition to come...

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About NPI 1033295035

State of South Carolina's National Provider Identifier is 1033295035, issued on Oct 31, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Greenwood, SC. The record was last updated on Oct 7, 2025.