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Organization

STATE OF SOUTH CAROLINA

Active
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Organization

STATE OF SOUTH CAROLINA

Active
Other names
Appalachia I CRS
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BETTY H GARREN (DIRECTOR, THIRD PARTY ADMINISTRATIO)
(803) 898-3720
Entity
Organization

Contact information

Practice address
220 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-5559
(864) 260-1014
Mailing address
1751 CALHOUN ST, COLUMBIA, SC 29201-2606
(803) 898-0288
(803) 898-0501

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL

Other

Enumeration date
01/02/2007
Last updated
05/09/2012
About Stedi
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