Organization
SOUTH CAROLINA DHEC
Active
Other names
Diabetes Education Program Trident
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
4050 BRIDGE VIEW DR, SUITE 600, NORTH CHARLESTON, SC 29405-7488
(843) 746-3800
(843) 746-3881
Mailing address
4050 BRIDGE VIEW DR, SUITE 600, NORTH CHARLESTON, SC 29405-7488
(843) 746-3800
(843) 746-3881
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DPE056
—
SC
Enumeration date
02/01/2007
Last updated
08/22/2020
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