Organization · Type 2 NPI

State of South Carolina

Public Health or Welfare Agency · Greenville, SC

NPI number 1477636140 Active

Practice location

352 Halton Rd
Greenville, SC 29607-3406

Call (864) 372-3270 Map

Fax (864) 282-4372

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 1477636140

State of South Carolina's National Provider Identifier is 1477636140, issued on Oct 24, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Greenville, SC. The record was last updated on Oct 7, 2025.