Organization
ABBEVILLE COUNTY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL I. RANDOLPH (SUPERINTENDENT)
(864) 366-5427
Entity
Organization
Contact information
Practice address
400 GREENVILLE ST., ABBEVILLE, SC 29620
(864) 336-5427
(864) 366-8531
Mailing address
400 GREENVILLE ST., ABBEVILLE, SC 29620
(864) 336-5427
(864) 366-8531
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W005755SC1
—
SC
05
—
W01868SC1
—
SC
05
—
W01869SC1
—
SC
05
—
W01870SC1
—
SC
05
—
W05388SC1
—
SC
05
—
W05389SC1
—
SC
Enumeration date
02/07/2006
Last updated
08/22/2020
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