Organization
CALHOUN COUNTY HIGH SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON BRUNSON SR. (CEO)
(803) 531-6900
Entity
Organization
Contact information
Practice address
150 SAINTS AVE, ST MATTHEWS, SC 29135-9005
(803) 874-3071
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
06/07/2018
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