Organization
ANDERSON SCHOOL DISTRICT FOUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY YOUNG (CHIEF FINANCIAL OFFICER)
(864) 403-2000
Entity
Organization
Contact information
Practice address
7324 HIGHWAY 187, ANDERSON, SC 29625-6911
(864) 403-2100
(864) 646-8066
Mailing address
315 E QUEEN ST, PENDLETON, SC 29670-1721
(864) 403-2000
(864) 403-2099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
213023
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0404
—
SC
Enumeration date
09/18/2013
Last updated
09/18/2013
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