Orangeburg Five

NPI 1215282116 - Local Education Agency (LEA) - 251300000X

NPI Details
NPI 1215282116
Enumeration Date 07/17/2012
Last Updated 07/17/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name WANDA WANDA
Position MEDICAID SPECIALIST
Phone (803) 533-7970
Fax (803) 535-1610
Practice Location
578 ELLIS AVE
ORANGEBURG SC, 29115-5022, US
Phone (803) 533-7970
Fax (803) 535-1610
Business Location
578 ELLIS AVE
ORANGEBURG SC, 29115-5022, US
Phone (803) 533-7970
Fax (803) 535-1610
Toxanomy
Taxonomy Code 251300000X
License State
License Number
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According to our database, Orangeburg Five NPI is 1215282116, taxonomy code is 251300000X Orangeburg Five physically located at 578 Ellis Ave, Orangeburg SC, 29115-5022. NPI Number 1033115704 has the healthcare provider type.

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1215282116 NPI number is provided on an as is basis without warranty of any kind. 1215282116 is maintained by the National Plan & Provider Enumeration System. The contents of Orangeburg Five are for informational purposes only.