Provider Demographics
NPI:1407005028
Name:SOUTH CAROLINA DHEC
Entity Type:Organization
Organization Name:SOUTH CAROLINA DHEC
Other - Org Name:SC DHEC REGION 1 DSME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OF STAFF
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:CALVERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-898-3305
Mailing Address - Street 1:1736 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-4124
Mailing Address - Country:US
Mailing Address - Phone:864-260-5541
Mailing Address - Fax:864-260-5676
Practice Address - Street 1:1736 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-4124
Practice Address - Country:US
Practice Address - Phone:864-260-5541
Practice Address - Fax:864-260-5676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare