Organization · Type 2 NPI

State of South Carolina

Public Health or Welfare Agency · Florence, SC

NPI number 1679658942 Active

Practice location

145 East Cheves Street
Florence, SC 29506

Fax (843) 661-4844

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 1679658942

State of South Carolina's National Provider Identifier is 1679658942, issued on Oct 26, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Florence, SC. The record was last updated on Oct 7, 2025.