Organization
LEXINGTON SCHOOL DISTRICT FOUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA W HOFFMAN (MEDICAID CLERK)
(803) 568-1000
Entity
Organization
Contact information
Practice address
607 E 5TH ST, SWANSEA, SC 29160-9702
(803) 568-1000
(803) 568-1020
Mailing address
607 E 5TH ST, SWANSEA, SC 29160-9702
(803) 568-1000
(803) 568-1020
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD3204
—
SC
Enumeration date
11/03/2006
Last updated
08/22/2020
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