Organization
MANAGEMENT SERVICES OF SANTEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESTER SEABROOKS RAVENELL (BUSINESS MANAGER)
(803) 854-4106
Entity
Organization
Contact information
Practice address
1580 BASS DR, SANTEE, SC 29142-0000
(803) 854-4106
(803) 854-5301
Mailing address
PO BOX 947, SANTEE, SC 29142-0947
(803) 854-4106
(803) 854-5301
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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