Organization
SOUTH CAROLINA DHEC
Active
Other names
Diabetes Education Program App III
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND DOUGLAS CALVERT (CHIEF OF STAFF)
(803) 898-3305
Entity
Organization
Contact information
Practice address
151 E WOOD ST, SPARTANBURG, SC 29303-3016
(864) 596-3333
(864) 596-2192
Mailing address
PO BOX 4217, SPARTANBURG, SC 29305-4217
(864) 596-3333
(864) 596-2192
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DPE059
—
SC
Enumeration date
02/01/2007
Last updated
08/22/2020
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