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
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None 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.