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Organization
AMERIGROUP COMMUNITY CARE OF SOUTH CAROLI
Active
Organization
AMERIGROUP COMMUNITY CARE OF SOUTH CAROLI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON BRUMLEY (SENIOR VICE PRESIDENT, REGULATORY S)
(757) 962-6452
Entity
Organization
Contact information
Practice address
250 BERRYHILL RD, SUITE 210, COLUMBIA, SC 29210-6470
(803) 551-2377
Mailing address
250 BERRYHILL ROAD, SUITE 210, COLUMBIA, SC 29210-6470
(803) 551-2377
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
161350
SC
Other
Enumeration date
07/30/2007
Last updated
11/30/2011
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