Provider Demographics
NPI:1477874634
Name:SOUTH CAROLINA PUBLIC CHARTER SCHOOL DISTRICT
Entity type:Organization
Organization Name:SOUTH CAROLINA PUBLIC CHARTER SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BRAZELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:803-734-8322
Mailing Address - Street 1:3700 FOREST DR
Mailing Address - Street 2:SUITE 406
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-4010
Mailing Address - Country:US
Mailing Address - Phone:803-734-8233
Mailing Address - Fax:803-734-8325
Practice Address - Street 1:3700 FOREST DR
Practice Address - Street 2:SUITE 406
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-4010
Practice Address - Country:US
Practice Address - Phone:803-734-8233
Practice Address - Fax:803-734-8325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2412039000251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)