Organization
ORANGEBURG CONSOLIDATED SCHOOL DISTRICT 5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA THOMAS (MEDICAID SPECIALIST)
(803) 533-7970
Entity
Organization
Contact information
Practice address
578 ELLIS AVE, ORANGEBURG, SC 29115-5022
(803) 533-7970
(803) 535-1610
Mailing address
578 ELLIS AVE, ORANGEBURG, SC 29115-5022
(803) 533-7970
(803) 535-1610
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
25130000X
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD3805
—
SC
Enumeration date
11/16/2010
Last updated
11/16/2010
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