Organization
ORANGEBURG CO. DSN BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LOFTS (EXECUTIVE DIRECTOR)
(803) 536-1170
Entity
Organization
Contact information
Practice address
2785 MAGNOLIA ST, ORANGEBURG, SC 29115-2502
(803) 536-1170
Mailing address
PO BOX 1812, 2785 E. MAGNOLIA, ORANGEBURG, SC 29116-1812
(803) 536-1170
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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