Organization · Type 2 NPI

State of South Carolina

Public Health or Welfare Agency · Manning, SC

NPI number 1689757239 Active

Practice location

110 East Boyce Street
Manning, SC 29102

Fax (803) 435-6825

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 1689757239

State of South Carolina's National Provider Identifier is 1689757239, issued on Oct 24, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Manning, SC. The record was last updated on Oct 7, 2025.