Organization · Type 2 NPI

State of South Carolina

Public Health or Welfare Agency · Camden, SC

NPI number 1124102306 Active

Practice location

1116 Church Street
Camden, SC 29020

Fax (803) 424-1611

Mailing address

400 Otarre Pkwy
Cayce, SC 29033-3751

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

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About NPI 1124102306

State of South Carolina's National Provider Identifier is 1124102306, issued on Oct 25, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Camden, SC. The record was last updated on Aug 7, 2025.