Organization · Type 2 NPI

State of South Carolina

Public Health or Welfare Agency · Newberry, SC

NPI number 1578633889 Active

Practice location

2111 Wilson Road
Newberry, SC 29108

Fax (803) 321-2300

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 1578633889

State of South Carolina's National Provider Identifier is 1578633889, issued on Nov 8, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Newberry, SC. The record was last updated on Oct 7, 2025.