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Organization
BEAUFORT COUNTY SCHOOL DISTRICT
Active
Organization
BEAUFORT COUNTY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILANDER KEN MCDOMICK SR. (MEDICAID COORDINATOR)
(843) 322-5422
Entity
Organization
Contact information
Practice address
1300 KING ST, BEAUFORT, SC 29902-4936
(843) 322-2300
Mailing address
P. O. DRAWER 309, BEAUFORT, SC 29901-0309
(843) 322-2300
(843) 322-5436
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701
—
SC
Enumeration date
02/13/2007
Last updated
07/21/2022
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