Organization · Type 2 NPI
State of South Carolina
Public Health or Welfare Agency · Moncks Corner, SC
NPI number
1144310152
Active
Practice location
109 West Main Street
Moncks Corner, SC 29461
Fax (843) 719-4656
Mailing address
400 Otarre Pkwy
Cayce, SC 29033-3751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
Other public health or welfare agency providers in Moncks Corner
About NPI 1144310152
State of South Carolina's National Provider Identifier is 1144310152, issued on Oct 13, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Moncks Corner, SC. The record was last updated on Oct 7, 2025.