Organization · Type 2 NPI

State of South Carolina

Public Health or Welfare Agency · Mullins, SC

NPI number 1902975733 Active

Practice location

206 Airport Court, Suite B
Mullins, SC 29574

Fax (843) 423-7179

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 1902975733

State of South Carolina's National Provider Identifier is 1902975733, issued on Nov 7, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Mullins, SC. The record was last updated on Oct 7, 2025.