# THE CLINICIANS CLINIC AT THE VEIL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124690342
- **Authorized official:** MS. NOVELLA JACKSON (CEO)
- **Authorized official phone:** (803) 878-2478

## Contact information

- **Practice address:** 968 DANTZLER ST, ORANGEBURG, SC 29115-4322
- **Practice address phone:** (803) 809-0003
- **Practice address fax:** (803) 809-0004
- **Mailing address:** 968 DANTZLER ST, ORANGEBURG, SC 29115-4322
- **Mailing address phone:** (803) 809-0003
- **Mailing address fax:** (844) 375-1125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2021
- **Last updated:** 04/06/2026