Organization · Type 2 NPI

State of South Carolina

Public Health or Welfare Agency · Georgetown, SC

NPI number 1508940784 Active

Practice location

531 Lafayette Circle
Georgetown, SC 29440

Fax (846) 546-0456

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...

About NPI 1508940784

State of South Carolina's National Provider Identifier is 1508940784, issued on Oct 25, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Georgetown, SC. The record was last updated on Oct 7, 2025.