Organization
TOWN OF WAGENER SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMAND BEAUDRY (OFFICE MANAGER)
(803) 564-8803
Entity
Organization
Contact information
Practice address
120 LOUIE ST, WAGENER, SC 29164-9445
(803) 564-8803
(803) 564-8804
Mailing address
120 LOUIE ST AND P O BOX 400, WAGENER, SC 29164
(803) 564-8803
(803) 564-8804
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
261QH0100X
SC
Other
Enumeration date
08/31/2015
Last updated
03/15/2016
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