Organization · Type 2 NPI

State of South Carolina

Public Health or Welfare Agency · Columbia, SC

NPI number 1073677100 Active

Practice location

2000 Hampton St
Columbia, SC 29204-1002

Mailing address

1751 Calhoun St
Columbia, SC 29201-2606

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

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About NPI 1073677100

State of South Carolina's National Provider Identifier is 1073677100, issued on Dec 21, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Columbia, SC. The record was last updated on May 9, 2012.