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Organization
ANDERSON SCHOOL DISTRICT FIVE
Active
Organization
ANDERSON SCHOOL DISTRICT FIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C HENDRICKS (MEDICAID COMPLIANCE COORDINATOR)
(864) 260-5053
Entity
Organization
Contact information
Practice address
400 PEARMAN DAIRY RD, ANDERSON, SC 29625-3100
(864) 260-5000
Mailing address
400 PEARMAN DAIRY RD, ANDERSON, SC 29625-3100
(864) 260-5000
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
NULL
101YS0200X
School Counselor
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
163WS0200X
School Registered Nurse
—
NULL
163WS0200X
School Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0405
—
SC
Enumeration date
02/10/2006
Last updated
09/11/2025
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