S.c. Department Of Health And Environmental Control

Specialty details in registry · Conway, SC

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At a glance

1931 Industrial Park Road, Conway, SC 29526

NPPES record updated Jun 27, 2008. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1931 Industrial Park Road
Conway, SC 29526
Professional details: NPI, taxonomy & registry record
NPI1760682108
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
333600000X
Enumeration date
Jul 24, 2007
Record updated
Jun 27, 2008
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

333600000X · Primary

License reported: 50008351 SC

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1931 Industrial Park Road
Conway, SC 29526
Phone
(843) 915-8820
Fax
(843) 365-0110
Mailing address
1751 CALHOUN ST
PO BOX 101106
COLUMBIA, SC 292012606
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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