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Organization

SOUTH CAROLINA DHEC

Active
Other names
SC DHEC Region 06 DSME
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAYMOND DOUGLAS CALVERT (CHIEF OF STAFF)
(803) 898-3305
Entity
Organization

Contact information

Practice address
1931 INDUSTRIAL PARK RD., CONWAY, SC 29526
(843) 915-8803
(843) 365-0104
Mailing address
1931 INDUSTRIAL PARK RD., CONWAY, SC 29526
(843) 915-8803
(843) 365-0104

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
03/18/2008
Last updated
03/18/2008
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