Organization
COMMUNITIES IN SCHOOLS KERSHAW COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER ADAMS (CO-DIRECTOR)
(803) 432-1109
Entity
Organization
Contact information
Practice address
905 WEST DEKALB STREET, SUITE A & F, CAMDEN, SC 29020-9998
(803) 432-1109
(803) 424-0020
Mailing address
905 WEST DEKALB STREET, SUITE A & F, CAMDEN, SC 29020-9998
(803) 432-1109
(803) 424-0020
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2610QF0050X
—
SC
05
—
MC0052
—
SC
Enumeration date
10/30/2006
Last updated
08/22/2020
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