Organization
NEWBERRY COUNTY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG MACK (ASST. SUPT. FOR OPERATIONS)
(803) 321-2600
Entity
Organization
Contact information
Practice address
1539 MARTIN ST, NEWBERRY, SC 29108-2831
(803) 321-2600
(803) 321-2013
Mailing address
1539 MARTIN ST, NEWBERRY, SC 29108-2831
(803) 321-2600
(803) 321-2013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W01410SC1
—
SC
Enumeration date
07/01/2006
Last updated
08/22/2020
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