# SC DHEC

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

## Provider details

- **NPI number:** 1548688377
- **Authorized official:** BRENDA S BLACKWELL RN (PUBLIC HEALTH NURSE)
- **Authorized official phone:** (803) 320-3330

## Contact information

- **Practice address:** 1070 HECKLE BLVD, ROCK HILL, SC 29732-2853
- **Practice address phone:** (803) 909-7300
- **Mailing address:** 715 PONDSIDE CT, YORK, SC 29745-7682
- **Mailing address phone:** (803) 324-5554
- **Mailing address fax:** (803) 324-5554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0905X | State or Local Public Health Clinic/Center | 53617 | SC | Yes |

## Other

- **Enumeration date:** 03/29/2014
- **Last updated:** 03/29/2014