Organization
SCB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN K BARNETT M. D. (PRESIDENT)
(803) 667-1528
Entity
Organization
Contact information
Practice address
738 UNIVERSITY VILLAGE DR, BLYTHEWOOD, SC 29016-7611
(803) 754-8432
(803) 754-8411
Mailing address
54 W SUGARBERRY CT, BLYTHEWOOD, SC 29016-8042
(803) 667-1528
(803) 667-1528
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
20528
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205282
—
SC
05
—
276711
—
SC
05
—
GP3859
—
SC
Enumeration date
04/18/2006
Last updated
04/27/2020
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