# SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Region 6 Department of Public Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497960355
- **Authorized official:** DR. COVIA LEVANCE STANLEY M.D., M.DIV. (REGIONAL HEALTH DIRECTOR)
- **Authorized official phone:** (843) 915-8875

## Contact information

- **Practice address:** 2830 OAK ST, CONWAY, SC 29526-4560
- **Practice address phone:** (843) 365-3126
- **Practice address fax:** (843) 365-3153
- **Mailing address:** 1931 INDUSTRIAL PARK RD, CONWAY, SC 29526
- **Mailing address phone:** (843) 915-8875
- **Mailing address fax:** (843) 365-3153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 23550 | SC | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 07/18/2008